Individual
CHRISTOPHER HENTY-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13328 SAN PABLO AVE, SAN PABLO, CA 94806-3902
(215) 595-8836
Mailing address
3720 CERRITO AVE, RICHMOND, CA 94805-1764
(215) 595-8836
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9368
CA
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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