Individual
ALISON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3468 MT DIABLO BLVD, LAFAYETTE, CA 94549-3957
(925) 284-6150
Mailing address
3468 MT DIABLO BLVD, LAFAYETTE, CA 94549-3957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41207
CA
Other
Enumeration date
04/16/2014
Last updated
01/13/2022
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