NPI 1285136846

Justin Clark, BOCO

Practitioner Orthotist Redding, CA

Practice location

Address: 1844 South St, Redding, CA 96001-1809
Phone: (530) 243-4500
Fax: (530) 243-4554

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

Other Orthotist providers in California →

Registry record

NPI: 1285136846
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2018
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.