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Individual

BRITTANY CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
377 UNION AVE, BRIDGEWATER, NJ 08807-3108
(908) 725-2366
Mailing address
7 LAUREL AVE, SUMMIT, NJ 07901-3436

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01010500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
09/02/2021
Last updated
09/02/2021
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