Individual provider · NPI-1

Britani Clark

Kinesiotherapist · Lake City, FL

NPI number1700238227
StatusActive
Last updated in NPPESJul 8, 2016

Details

NPI
1700238227
Entity type
Individual (NPI-1)
Name
Ms. Britani Clark
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2016
Last updated
Jul 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
226300000X Kinesiotherapist1833NCYes

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Phone 386-755-3016

Mailing address

619 S Marion Ave
Lake City, FL 32025-5808

Phone 386-755-3016

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