Individual
HANNAH STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COMMERCIAL CT STE F, VENICE, FL 34292
(941) 485-0121
Mailing address
2701 N ROCKY POINT DR STE 650, TAMPA, FL 33607-5999
(800) 434-4686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18970
FL
225XP0200X
Pediatric Occupational Therapist
18970
—
Other
Enumeration date
02/22/2018
Last updated
08/17/2018
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