Individual
REBECCA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 MADISON AVE # 391, NEW YORK, NY 10016-2817
(347) 524-4159
Mailing address
244 MADISON AVE # 391, NEW YORK, NY 10016-2817
(347) 524-4159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0317171
NY
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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