Search › California › 225200000X
Carla Clark, PTA
NPI 1982890414 · on the registry since 2007 · sole proprietor
Practice
- Address
- 709 W Channel Islands Blvd
Suite 157
Port Hueneme, CA 93041 - Phone
- (805) 382-6245
- Fax
- (805) 382-6245
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-19
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