Mallory, Jared Clark

Mallory, Jared Clark is an individual health care provider with primary practice located at 3398 25Th Street , Port Arthur TX 77642. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Mallory, Jared Clark can be contacted via phone (409) 985-9365.

Contact Information

Primary practice address
3398 25Th Street Port Arthur TX 77642
Phone: (409) 985-9365
Fax: (409) 985-6315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1137768 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 1137768 Texas

Profile Details

NPI number 1679896534
LBN Legal business name Mallory, Jared Clark
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2010
Last updated Mar 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers