Individual
MRS. CORRINE ANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 CRAVEN RD, SAN MARCOS, CA 92078-4201
(760) 510-5659
Mailing address
1351 FELICITA LN, ESCONDIDO, CA 92029-6631
(760) 489-2666
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT21058
CA
Other
Enumeration date
06/27/2007
Last updated
12/02/2021
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