Jonathan Paul Stark, PT DPT

NPI #1114556602 in Sparta, New Jersey

Provider Information

NPI Number: 1114556602
Entity Type: Individual
Name: Jonathan Paul Stark, PT DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT DPT
Enumeration Date: Apr 6, 2020
Last Updated: Apr 6, 2020

Practice Location

Address: 580 STATE ROUTE 15
City: Sparta
State: New Jersey
ZIP Code: 07871-3483
Phone: (973) 862-4177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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