Individual
MRS. JOSEPHINE DIANA RAGGIO STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
36301
CA
Other
Enumeration date
07/13/2011
Last updated
01/11/2022
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