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Madison Mimi Clark
Rehabilitation Practitioner in Fullerton, California
NPI 1295478501

Madison Mimi Clark is a Rehabilitation Practitioner based in Fullerton, CA. Madison Mimi Clark practices in Fullerton, CA. The NPI Number for Madison Mimi Clark is 1295478501 and holds a License No. (California).

The current practice location address for Madison Mimi Clark is 801 E. Chapman Ave #203, Fullerton, CA and can be reached out via phone at 714-680-9000.

Location: 801 E. Chapman Ave #203, Fullerton, CA, 92836-0919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295478501
Provider Name
Madison Mimi Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
801 E. Chapman Ave #203, Fullerton, CA, 92836-0919
Phone Number
714-680-9000
Fax Number
Provider Enumeration Date
04/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 E. Chapman Ave #203
City
Fullerton
State
California
Zip
92831-3839
Phone Number
714-680-9000
Fax Number
person
Provider Business Mailing Address Details
Address
801 E. Chapman Ave #203
City
Fullerton
State
California
Zip
92831-3839
Phone Number
714-680-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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