Organization
STARK PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HUNTER STARK PT (OWNER / PHYSICAL THERAPIST)
(601) 540-1086
Entity
Organization
Contact information
Practice address
375 N 9TH AVE STE B, PENSACOLA, FL 32502-4905
(601) 540-1086
Mailing address
707 E CERVANTES STREET, SUITE B #216, PENSACOLA, FL 32501
(601) 540-1086
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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