Doctor Name: | CLARK BRAINERD |
NPI Number: | 1013383926 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT871879 |
Business Practice Address: | 8722 Glenarden Cir Nw Massillon, OH - 446461600 |
Business Phone Number: | 3306854384 |
Business Fax Number: | |
Mailing Address: | 3301 New Mexico Ave Nw, Suite 318 WASHINGTON |
State: | DC |
Postal Code: | 200163622 |
Phone Number: | 2023630454 |
Fax Number: | 2023630668 |
NPI Enumeration Date: | 08/14/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT871879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |