Individual
BRITTANY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
123 STATE ROUTE 3, SUNBURY, OH 43074-6900
(740) 965-4301
(740) 965-5182
Mailing address
123 STATE ROUTE 3, SUNBURY, OH 43074-6900
(740) 965-4301
(740) 965-5182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285822-0001
BUREAU OF WORKERS COMPENSATION
OH
Enumeration date
01/25/2021
Last updated
01/25/2021
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