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Mr. Derek Clark, BOCOCPED
Orthotist in Albuquerque, New Mexico
NPI 1497161590

Derek Clark is a Orthotist based in Albuquerque, NM. Derek Clark practices in Albuquerque, NM and has the professional credentials of BOCOCPED. The NPI Number for Derek Clark is 1497161590 and holds a License No. C49914 (New Mexico).

The current practice location address for Derek Clark is 5111 Juan Tabo Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-200-9004 and via fax at 505-271-0217.

Location: 5111 Juan Tabo Blvd Ne, Albuquerque, NM, 87111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497161590
Provider Name
Derek Clark
Credential
BOCOCPED
Provider Entity Type
Individual
Gender
Male
Address
5111 Juan Tabo Blvd Ne, Albuquerque, NM, 87111
Phone Number
505-200-9004
Fax Number
505-271-0217
Provider Enumeration Date
07/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5111 Juan Tabo Blvd Ne
City
Albuquerque
State
New Mexico
Zip
87111
Phone Number
505-200-9004
Fax Number
505-271-0217
person
Provider Business Mailing Address Details
Address
5111 Juan Tabo Blvd Ne
City
Albuquerque
State
New Mexico
Zip
87111
Phone Number
505-200-9004
Fax Number
505-271-0217
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
C49914 (Maryland)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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