Individual
NANCY STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1745 S ALMA SCHOOL RD, STE.145, MESA, AZ 85210-3009
(480) 963-3634
Mailing address
5614 N 76TH PL, SCOTTSDALE, AZ 85250-6524
(707) 322-1735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5538
AZ
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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