Individual
COREY STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701
(903) 939-7599
Mailing address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112295
TX
Other
Enumeration date
10/11/2007
Last updated
09/19/2019
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