Individual
NATHAN MCCLUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
(949) 540-5641
Mailing address
9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
295919
CA
2251X0800X
Orthopedic Physical Therapist
295919
CA
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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