Clark, Brian Keith

Clark, Brian Keith is an individual health care provider with primary practice located at 1407 Melbourne St , Foster City CA 94404-3960. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Clark, Brian Keith can be contacted via phone (650) 759-1872.

Contact Information

Primary practice address
1407 Melbourne St Foster City CA 94404-3960
Phone: (650) 759-1872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT 2497 California

Profile Details

NPI number 1679801286
LBN Legal business name Clark, Brian Keith
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2009
Last updated Nov 20th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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