Individual
ANDREW CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
210 N AVIATION BLVD, #B, MANHATTAN BEACH, CA 90266-7015
(310) 376-9200
(310) 376-9202
Mailing address
210 N AVIATION BLVD, #B, MANHATTAN BEACH, CA 90266-7015
(310) 376-9200
(310) 376-9202
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
291868
CA
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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