Andrea Renee Stark, OTR

NPI #1518194737 in Benbrook, Texas

Provider Information

NPI Number: 1518194737
Entity Type: Individual
Name: Andrea Renee Stark, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jun 15, 2009
Last Updated: Jun 15, 2009

Practice Location

Address: 8313 ASTA CT
City: Benbrook
State: Texas
ZIP Code: 76126-1671
Phone: (817) 907-7484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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