Individual
BRIA MARIE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1410 PLAZA DR STE 9, WINSTON SALEM, NC 27103-1470
(262) 902-5883
Mailing address
225 W BROOKLINE ST, WINSTON SALEM, NC 27127-7157
(262) 902-5883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15107
NC
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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