Most Relevant Information
Provider Data
NPI Number: | 1003317413 |
Provider Name: | HANNAH STARK |
Entity Type: | Individual |
Taxonomy Code: | 225XP0200X |
Specialty: | Occupational Therapist |
License Number: | 18970 |
Most Important Dates
Enumeration Date: | 02/22/2018 |
Last Updated: | 08/17/2018 |
Provider Practice Location
411 COMMERCIAL CT STE F
VENICE
FL
34292
Practice Location Phone/Fax
Phone: | 9414850121 |
Fax: |
Provider Mailing Location
2701 N ROCKY POINT DR STE 650
TAMPA
FL
336075999
Provider Mailing Phone/Fax
Phone: | 8004344686 |
Fax: |