Individual
MR. THOMAS L CLENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
100 N WIGET LN, STE 200, WALNUT CREEK, CA 94598-5988
(925) 988-0100
Mailing address
100 N WIGET LN, STE 200, WALNUT CREEK, CA 94598-5988
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
36462
CA
Other
Enumeration date
03/02/2010
Last updated
03/03/2010
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