Anthony John Stark, LPTA

NPI #1306119102 in Swansea, Illinois

Provider Information

NPI Number
1306119102
Entity Type
Individual
Name
Anthony John Stark, LPTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
LPTA
Enumeration Date
Feb 10, 2012
Last Updated
Feb 14, 2025

Practice Location

Address
3751 ROUND HILL RD
Address 2
APT 5
ZIP Code
62226-1222
Phone
(469) 939-6867

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility
Physical Therapy Assistant
Skilled Nursing Facility

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