Individual
KATINA C CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/EMT/MMP
Contact information
Practice address
7 WHIPPOORWILL HILL RD, NEWTOWN, CT 06470-1524
(203) 788-0058
Mailing address
7 WHIPPOORWILL HILL RD, NEWTOWN, CT 06470-1524
(203) 788-0058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007849
CT
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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