Individual
RONDA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2405 FORT EUSTIS BLVD, YORKTOWN, VA 23692-4163
(757) 898-3746
Mailing address
8715 TIDEWATER DR, NORFOLK, VA 23503-5440
(757) 636-9877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601887
VA
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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