Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN CLARK
Active Sole ProprietorBRIAN CLARK is a Gerontology Occupational Therapist healthcare provider located in ROCKLIN, California. NPI 1437548062 is currently active in the NPPES registry. Verify at CMS.
Gerontology Occupational Therapist · ROCKLIN, CA
Registration Details
- NPI Number
- 1437548062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2015 (11.599630658149 yrs)
- Last Updated
- Jan 20, 2015
- License
-
5857 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4718 TENBURY LNROCKLIN, CA, 956774487Browse CA providers · Browse ZIP 95677
- Phone
- 9162149597
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.