Doctor Name: | CAROLYN STARK |
NPI Number: | 1568499747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT01878 |
Business Practice Address: | 16 Arnold St Woonsocket, RI - 028952902 |
Business Phone Number: | 4017652030 |
Business Fax Number: | 4017697472 |
Mailing Address: | 22 Birchwood Ave, GROTON |
State: | MA |
Postal Code: | 014502078 |
Phone Number: | 9784488405 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT01878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |