Individual
MELANIE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3625 SAINT JOSEPH RD, NEW ALBANY, IN 47150-9745
(812) 948-0670
Mailing address
3625 SAINT JOSEPH RD, NEW ALBANY, IN 47150-9745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001306A
IN
224Z00000X
Occupational Therapy Assistant
KY-A3484
KY
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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