Individual
CHELSEA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2999 MISSION BLVD, SUITE 101, SAN DIEGO, CA 92109-8028
(858) 488-3597
Mailing address
4085 SEQUOIA ST, SAN DIEGO, CA 92109-6159
(207) 756-0736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42776
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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