MRS. VIVIENNE MINESA HENDRICKS-CLARK (NPI# 1649433301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649433301 |
| Entity Type | Individual |
| Full Name | MRS. VIVIENNE MINESA HENDRICKS-CLARK |
| Credential | OTR/L |
| Practice Address |
701 Larsson St Manhattan Beach CA 90266-5943 |
| Practice Telephone | 3103182961 |
| Mailing Telephone | 3103182961 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
4654 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
701 LARSSON ST |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-5943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421249 | Hope Rising Therapy Inc. | Occupational Therapist | 31926 Via Ararat Dr, Bonsall, CA 92003-4340 | 2020-09-14 |
| 1992316681 | Cristin M. Zeisler | Occupational Therapist | 854 Penn St, El Segundo, CA 90245-2511 | 2020-08-14 |
| 1629694161 | Gina Erdman | Occupational Therapist | 1824 Ostrom Ave, Long Beach, CA 90815-3646 | 2020-06-21 |
| 1407324734 | Donald David Ajluni | Occupational Therapist | 1630 E Seeger Ave, Visalia, CA 93292-2026 | 2018-11-05 |
| 1326538661 | Stephanie Marie Farrell | Occupational Therapist | 910 E Alosta Ave, Azusa, CA 91702-2709 | 2018-05-11 |
| 1770098329 | Lucy Dodakian | Occupational Therapist | 843 Health Sciences Road Hewitt Hall 1331, Irvine, CA 92697-0001 | 2017-12-05 |
| 1932586690 | Sarah Cook | Occupational Therapist | 27 Los Cerros Ave, Walnut Creek, CA 94598-3134 | 2015-05-01 |
| 1801211313 | Meri Escobar | Occupational Therapist | 39 Kentworth, Irvine, CA 92602-0110 | 2014-02-20 |
| 1073888913 | Julie Ellen Papadakis | Occupational Therapist | 22642 Lambert St Ste 403, Lake Forest, CA 92630-1645 | 2012-03-10 |
| 1063657419 | Kevin Isaacs | Occupational Therapist | 9150 Reseda Blvd, Northridge, CA 91324 | 2008-12-12 |
| Find all providers with the same taxonomy | ||||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
Please comment or provide details below to improve the information on MRS. VIVIENNE MINESA HENDRICKS-CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.