Individual provider · Type 1 NPI

Derek Clark, BOCO C.PED

Orthotist · Albuquerque, NM

NPI number 1497161590 Active

Practice location

5111 Juan Tabo Blvd NE, Ste A
Albuquerque, NM 87111

Fax (505) 271-0217

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000XC49914 (MD)

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

9 other providers at this address

About NPI 1497161590

Derek Clark, BOCO C.PED's National Provider Identifier is 1497161590, issued on Jul 9, 2014. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 9, 2014.