Individual
CHRISTINA M. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 997-7826
Mailing address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 997-7826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT800
CA
225X00000X
Occupational Therapist
Primary
OT800
CA
225XH1200X
Hand Occupational Therapist
OT800
CA
Other
Enumeration date
03/08/2007
Last updated
09/11/2025
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