Individual
MRS. MICHELLE L STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7700
Mailing address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0427
SD
Other
Enumeration date
12/30/2008
Last updated
01/07/2010
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