Stacey Stark
NPI #1306956073 in North Franklin, Connecticut
Provider Information
- NPI Number
- 1306956073
- Entity Type
- Individual
- Name
- Stacey Stark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Nov 26, 2012
Practice Location
- Address
- 82 NEW PARK AVE
- City
- North Franklin
- State
- Connecticut
- ZIP Code
- 06254-1807
- Phone
- (860) 823-6221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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