Individual
BRIAN L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
1406-77 CARLTON ST, TORONTO, ON M5B 2-J7
(647) 342-7123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
028934-1
NY
225100000X
Physical Therapist
Primary
1174211
TX
225100000X
Physical Therapist
717
AR
Other
Enumeration date
09/13/2007
Last updated
01/16/2010
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