Keith Bradley Stark, PT, DPT

NPI #1265565907 in Palm Harbor, Florida

Provider Information

NPI Number
1265565907
Entity Type
Individual
Name
Keith Bradley Stark, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Mar 13, 2007
Last Updated
Jul 1, 2008

Practice Location

Address
33100 US HIGHWAY 19 N
State
Florida
ZIP Code
34684-3127
Phone
(727) 789-6008

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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