Clark, Michelle Renee

Clark, Michelle Renee is an individual health care provider with primary practice located at 25285 Madison Ave Suite 104, Murrieta CA 92562-8955. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Clark, Michelle Renee can be contacted via phone (951) 600-2990.

Contact Information

Primary practice address
25285 Madison Ave Suite 104 Murrieta CA 92562-8955
Phone: (951) 600-2990
Fax: (951) 600-7224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT14472 California

Profile Details

NPI number 1699750778
LBN Legal business name Clark, Michelle Renee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Sep 27th, 2020 - about 6 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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