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Individual

CLAIRE ELIZABETH WHITLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2667 N MOORPARK RD, SUITE 108, THOUSAND OAKS, CA 91360-3001
(805) 492-0429
(805) 492-0308
Mailing address
2667 N MOORPARK RD, SUITE 108, THOUSAND OAKS, CA 91360-3001
(805) 492-0429
(805) 492-0308

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT35156
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT35156
STATE OF CA LICENSE #
CA
Enumeration date
01/28/2009
Last updated
01/28/2009
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