BRIAN CLARK

ROCKLIN, CA
NPI1437548062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XG0600X Occupational Therapist, Gerontology
(Licence: CA  5857)
Enumeration Date2015-01-20
Last Update Date2015-01-20
Business Address
-- BRIAN CLARK
4718 TENBURY LN
ROCKLIN, CA 95677-4487
Phone number: 916-214-9597
Mailing Address
-- BRIAN CLARK
4718 TENBURY LN
ROCKLIN, CA 95677-4487
Phone number: