Organization
CLARK ORTHOPEDIC REHABILITATION AND EDUCATION
Active
Other names
CORE 808
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLARK ATC (OWNER)
(808) 286-5005
Entity
Organization
Contact information
Practice address
1274 HONOKAHUA ST, HONOLULU, HI 96825-3019
(808) 286-5005
(808) 286-5005
Mailing address
PO BOX 240401, HONOLULU, HI 96824-0401
(808) 286-5005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-294
HI
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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