Organization
CLARK CONSULTING AND PHYSICAL THERAPY INC
Active
Other names
VIP Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CLARK PT (PRESIDENT)
(323) 596-0603
Entity
Organization
Contact information
Practice address
8436 W 3RD ST STE 602, LOS ANGELES, CA 90048-4186
(323) 596-0603
Mailing address
26500 AGOURA RD # 102-135, CALABASAS, CA 91302-1952
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
16701
CA
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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