Individual provider · Type 1 NPI

Vivienne Minesa Hendricks-Clark, OTR/L

Neurorehabilitation Occupational Therapist · Manhattan Beach, CA

NPI number 1649433301 Active

Practice location

701 Larsson St
Manhattan Beach, CA 90266-5943

Specialties and licenses

TaxonomyCodeLicense
Neurorehabilitation Occupational Therapist Primary 225XN1300X4654 (CA)

Neurorehabilitation Occupational Therapist: Definition to come...

About NPI 1649433301

Vivienne Minesa Hendricks-Clark, OTR/L's National Provider Identifier is 1649433301, issued on Jul 2, 2008. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Manhattan Beach, CA. The record was last updated on Jul 2, 2008.