Individual
AMY RAE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 STEPHENVILLE PKWY STE 2C, EDISON, NJ 08820-3061
(908) 293-8636
Mailing address
25 GOODALE CIR, NEW BRUNSWICK, NJ 08901-1607
(908) 202-0701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QS00305100
NJ
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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