Individual
ALEXANDRIA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 GOSSMAN RD, SOUTHERN PINES, NC 28387-2225
(910) 246-1158
Mailing address
500 SEYMOUR ST, ABERDEEN, NC 28315-1833
(440) 813-7433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11044
NC
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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