Individual
CAROL A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4150 CLEMENT ST, (117), SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19328
CA
Other
Enumeration date
07/13/2006
Last updated
08/20/2008
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