Individual provider · Type 1 NPI

Cherly Clark

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1972789683 Active

Practice location

8401 S Vermont Ave
Los Angeles, CA 90044-3423

Fax (323) 967-0180

Mailing address

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1972789683

Cherly Clark's National Provider Identifier is 1972789683, issued on Jan 11, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 11, 2008.