Kathryn Stark

NPI #1043704109 in Mt Pleasant, South Carolina

Provider Information

NPI Number: 1043704109
Entity Type: Individual
Name: Kathryn Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 21, 2018
Last Updated: Jun 21, 2018

Practice Location

Address: 900 JOHNNIE DODDS BLVD STE 100
City: Mt Pleasant
State: South Carolina
ZIP Code: 29464-6130
Phone: (843) 606-1490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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