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Individual

BRIAN CLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NYS LMT

Contact information

Practice address
632 PLANK RD STE 208, CLIFTON PARK, NY 12065-2034
(518) 951-4914
Mailing address
68 COLUMBUS AVE, WATERFORD, NY 12188-2129
(518) 951-4914

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031498
NY

Other

Enumeration date
07/20/2021
Last updated
07/20/2021
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