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Individual

BRIANNA CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05016133A
IN
225100000X
Physical Therapist
16812
TN
225100000X
Physical Therapist
CP048794T
TN
225100000X
Physical Therapist
Primary
CP053478T
SC

Other

Enumeration date
08/25/2025
Last updated
07/22/2026
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