Organization
CLARK CONSULTING AND PHYSICAL THERAPY INC
Active
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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