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Organization
CLARK ORTHOPEDIC REHABILITATION AND EDUCATION
Active
Organization
CLARK ORTHOPEDIC REHABILITATION AND EDUCATION
Active
Other names
CORE 808
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLARK ATC (OWNER)
(808) 286-5005
Entity
Organization
Contact information
Practice address
1274 HONOKAHUA ST, HONOLULU, HI 96825-3019
(808) 286-5005
(808) 286-5005
Mailing address
PO BOX 240401, HONOLULU, HI 96824-0401
(808) 286-5005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-294
HI
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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