Individual
KRYSTIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 ORIENTA AVE, STE 1015, ALTAMONTE SPRINGS, FL 32701-5619
(407) 332-7816
(407) 332-6361
Mailing address
745 ORIENTA AVE, STE 1015, ALTAMONTE SPRINGS, FL 32701-5619
(407) 332-7816
(407) 332-6361
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA71716
FL
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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