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Timothy Clark, ATC
NPI 1518413228 · on the registry since 2016 · sole proprietor
Practice
- Address
- 8432 Magnolia Ave
Riverside, CA 92504 - Phone
- (951) 552-8512
- Organisation at this address
- California Baptist University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 64
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2016-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California