MR. Jason Lynn Stark, OTR

NPI #1932272283 in Spring, Texas

Provider Information

NPI Number: 1932272283
Entity Type: Individual
Name: MR. Jason Lynn Stark, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist - Pediatrics
Credential: OTR
Enumeration Date: Nov 16, 2006
Last Updated: Apr 15, 2011

Practice Location

Address: 16835 DEER CREEK DR STE 120
City: Spring
State: Texas
ZIP Code: 77379-5803
Phone: (281) 379-4373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Occupational Therapist - Neurorehabilitation — Neurorehabilitation	225XN1300X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X	Primary

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