Individual
CATHERINE D CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
30800 PALOS VERDES DR E, RANCHO PALOS VERDES, CA 90275-6273
(310) 940-5122
Mailing address
3030 MERRILL DR APT 18, TORRANCE, CA 90503-7161
(310) 940-5122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
089602617
CA
2255A2300X
Athletic Trainer
940822
CA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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