Mrs. Michelle Clark
Kinesiotherapist
4573 Normandie Pl
La Mesa
, California 91942-8502
Mrs. Michelle Clark
Kinesiotherapist
4573 Normandie Pl
La Mesa
, California 91942-8502
(619) 884-4495
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mrs. Michelle Clark
- 4573 Normandie Pl
- La Mesa, CA
- Zip : 91942-8502
- Phone : (619) 884-4495
Second Address
- Mrs. Michelle Clark
- 4573 Normandie Pl
- La Mesa, CA
- Zip : 91942-8502
- Phone : (619) 884-4495
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist |
National Provider Identifier
| NPI | 1578987533 |
|---|---|
| Provider Name | Mrs. Michelle Clark |
| First Address | La Mesa, CA 91942-8502 |
| Second Address | La Mesa, CA 91942-8502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.