Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paul R Clark, ORTHOTIST

Individual provider Customized Equipment (DME) · NPI 1285714907

Paul R Clark, ORTHOTIST is a Customized Equipment (DME) in Brookline, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
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Practice location Address checks out

33 Pond Ave Ste 107B
Brookline, MA 02445-7163
Phone: (781) 254-6437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X (MA)

Record details

NPI number1285714907
Entity typeIndividual (Type 1)
GenderMale
Credentials ORTHOTIST
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 9, 2007