Individual
RACHEL LEE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8112 W BLUEMOUND RD, WAUWATOSA, WI 53213-3356
(414) 727-5552
Mailing address
2222 S 114TH ST, WEST ALLIS, WI 53227-1031
(414) 449-4444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5453-27
WI
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/05/2016
Last updated
03/17/2018
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