MR. Brandt Clark, PT

NPI #1033544259 in Hawthorne, California

Provider Information

NPI Number: 1033544259
Entity Type: Individual
Name: MR. Brandt Clark, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 6, 2013
Last Updated: Sep 6, 2013

Practice Location

Address: 14650 AVIATION BLVD
Address 2: #100
City: Hawthorne
State: California
ZIP Code: 90250
Phone: (310) 725-9018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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