Individual
MRS. VIVIENNE MINESA HENDRICKS-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
701 LARSSON ST, MANHATTAN BEACH, CA 90266-5943
(310) 318-2961
Mailing address
701 LARSSON ST, MANHATTAN BEACH, CA 90266-5943
(310) 318-2961
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
4654
CA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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