Individual
EDITH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 MARKET ST, SAN FRANCISCO, CA 94102-4980
(415) 474-7310
Mailing address
1170 MARKET ST, SAN FRANCISCO, CA 94102-4980
(415) 474-7310
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
11/04/2015
Last updated
09/10/2025
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