MRS. Theresa Amanda Stark, PTA

NPI #1215116181 in Louisville, Ohio

Provider Information

NPI Number: 1215116181
Entity Type: Individual
Name: MRS. Theresa Amanda Stark, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 513 E MAIN ST
City: Louisville
State: Ohio
ZIP Code: 44641-1421
Phone: (330) 875-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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