Angela Ruth Stork, M.S.P.T.

NPI #1629122205 in Barnhart, Missouri

Provider Information

NPI Number: 1629122205
Entity Type: Individual
Name: Angela Ruth Stork, M.S.P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.P.T.
Enumeration Date: Jan 22, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 6717 ARMISTEAD CT
City: Barnhart
State: Missouri
ZIP Code: 63012-1166
Phone: (314) 609-1520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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