Provider Demographics
NPI:1104366673
Name:CLARIN, MEL-ALVIN (PT)
Entity Type:Individual
Prefix:MR
First Name:MEL-ALVIN
Middle Name:
Last Name:CLARIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 N TIMMY AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-0183
Mailing Address - Country:US
Mailing Address - Phone:559-321-4341
Mailing Address - Fax:
Practice Address - Street 1:284 N TIMMY AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0183
Practice Address - Country:US
Practice Address - Phone:559-321-4341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 28947225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist