Individual
CLARK BRAINERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8722 GLENARDEN CIR NW, MASSILLON, OH 44646-1600
(330) 685-4384
Mailing address
3301 NEW MEXICO AVE NW, SUITE 318, WASHINGTON, DC 20016-3622
(202) 363-0454
(202) 363-0668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT871879
DC
Other
Enumeration date
08/14/2015
Last updated
11/16/2015
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