Timothy T Stark

NPI #1861945636 in Lithonia, Georgia

Provider Information

NPI Number: 1861945636
Entity Type: Individual
Name: Timothy T Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 28, 2016
Last Updated: Jul 28, 2016

Practice Location

Address: 6000 HILLANDALE DR
Address 2: STE 145
City: Lithonia
State: Georgia
ZIP Code: 30058-4840
Phone: (678) 418-8072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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