Organization
ATHLETIC PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN W. CLARK DPT, PT (PRESIDENT)
(818) 340-2002
Entity
Organization
Contact information
Practice address
1751 LOMBARD ST, SUITE A, OXNARD, CA 93030-8266
(805) 981-2289
(805) 981-7979
Mailing address
30877 THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-4039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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