MRS. Bridgett M Stark

NPI #1427273606 in Carlyle, Illinois

Provider Information

NPI Number: 1427273606
Entity Type: Individual
Name: MRS. Bridgett M Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 17805 BELLFLOWER LN
City: Carlyle
State: Illinois
ZIP Code: 62231-2917
Phone: (618) 339-2040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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