Doctor Name: | ROBIN LORINNE CLARKSON |
NPI Number: | 1134351695 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 24603 |
Business Practice Address: | 2125 Wright Avenue Ste C1 La Verne, CA - 91750 |
Business Phone Number: | 9095600031 |
Business Fax Number: | |
Mailing Address: | 2125 Wright Avenue, Ste C1 LA VERNE |
State: | CA |
Postal Code: | 91750 |
Phone Number: | 9095600031 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 24603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |