Individual provider · Type 1 NPI

Kimberly Clark, MPT

Pediatric Physical Therapist · Placentia, CA

NPI number 1376878595 Active

Practice location

101 S Kraemer Blvd Ste 125
Placentia, CA 92870-6100

Call (714) 624-2315 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X21109 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1376878595

Kimberly Clark, MPT's National Provider Identifier is 1376878595, issued on Oct 6, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Placentia, CA. The record was last updated on Aug 23, 2019.