Theresa Amanda Stark PTA

NPI 1215116181 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1215116181
Gender Female
Enumeration Date 10/29/2007
Last Updated 10/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
513 E MAIN ST
LOUISVILLE OH, 44641-1421, US
Phone (330) 875-0888
Fax (330) 875-4922
Business Location
522 KAYLYNN ST SE
MASSILLON OH, 44646-7060, US
Phone (330) 834-0427
Fax
Toxanomy
Taxonomy Code 225200000X
License State
License Number
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According to our database, Mrs. Theresa Amanda Stark PTA NPI is 1215116181, taxonomy code is 225200000X Theresa Amanda Stark PTA physically located at 513 E Main St, Louisville OH, 44641-1421. NPI Number Theresa Amanda Stark PTA has the Individual type.

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1215116181 NPI number is provided on an as is basis without warranty of any kind. 1215116181 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Amanda Stark PTA are for informational purposes only.