Individual
CRYSTAL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 W ROSAMOND BLVD, ROSAMOND, CA 93560-6434
(661) 256-5000
Mailing address
3145 SUMMER BREEZE AVE, ROSAMOND, CA 93560-7820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3025
AR
Other
Enumeration date
03/07/2017
Last updated
01/22/2026
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