MRS. VIVIENNE MINESA HENDRICKS-CLARK OTR/L
NPI 1649433301
Occupational Therapist - Neurorehabilitation in Manhattan Beach, CA
Active since July 02, 2008
About Mrs. Vivienne Minesa Hendricks-clark Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. VIVIENNE MINESA HENDRICKS-CLARK OTR/L (NPI 1649433301) is an individual neurorehabilitation provider in Manhattan Beach, California, licensed in California (4654) and active in the NPI registry since July 2008.
NPPES Registry Identity
NPI1649433301
Entity TypeIndividualFemale
Primary Taxonomy225XN1300X
Provider Legal NameMRS. VIVIENNE MINESA HENDRICKS-CLARKCredential: OTR/L
Location Address701 LARSSON STManhattan Beach, CA 90266-5943
Mailing Address701 Larsson StManhattan Beach, CA 90266-5943 · (310) 318-2961
Phone(310) 318-2961
Sole ProprietorNo
Enumeration DateJuly 2, 2008
✔ NPI 1649433301 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XN1300X
License✔ Licensed in CA · 4654
701 LARSSON ST, Manhattan Beach, CA 90266
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649433301, enumerated as an "individual" on July 02, 2008.
The provider is located at 701 LARSSON ST MANHATTAN BEACH, CA 90266 and the phone number is (310) 318-2961.
Occupational Therapist with taxonomy code 225XN1300X and a focus in Neurorehabilitation.
