Individual
MR. TODD K A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1090 KEOLU DR, SUITE 104, KAILUA, HI 96734-3871
(808) 262-2292
(808) 262-2293
Mailing address
PO BOX 1440, KAILUA, HI 96734-1440
(808) 262-2292
(808) 262-2293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1978
HI
225100000X
Physical Therapist
Primary
PT1978
HI
Other
Enumeration date
11/22/2006
Last updated
05/11/2017
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