Clear Lake Physical Therapy INC

NPI #1477502912 in Clearlake, California

Provider Information

NPI Number: 1477502912
Entity Type: Organization
Organization Name: Clear Lake Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: May 10, 2006
Last Updated: Dec 7, 2009

Practice Location

Address: 14855 OLYMPIC DR
City: Clearlake
State: California
ZIP Code: 95422-9522
Phone: (707) 994-7248

Authorized Official

Name: LAWRENCE HOSMER HURST, PT
Title: OWNER
Phone: (707) 263-1295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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