# CLARK ORTHOPEDIC REHABILITATION AND EDUCATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORE 808
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861902736
- **Authorized official:** WILLIAM CLARK ATC (OWNER)
- **Authorized official phone:** (808) 286-5005

## Contact information

- **Practice address:** 1274 HONOKAHUA ST, HONOLULU, HI 96825-3019
- **Practice address phone:** (808) 286-5005
- **Practice address fax:** (808) 286-5005
- **Mailing address:** PO BOX 240401, HONOLULU, HI 96824-0401
- **Mailing address phone:** (808) 286-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | AT-294 | HI | Yes |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 10/05/2017