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Individual

TAYLOR STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
11040 N STATE ROAD 77, HAYWARD, WI 54843-3606
(715) 934-4232
Mailing address
14712 W HIDDEN WOODS DR, HAYWARD, WI 54843-4585

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
15427-24
WI

Other

Enumeration date
04/19/2023
Last updated
07/29/2024
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