Individual
MRS. AIMEE ERIN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1306 W. COLLIN RAYE DR., DEQUEEN, AR 71832
(870) 642-4990
(870) 642-7250
Mailing address
1306 W. COLLIN RAYE DR., DEQUEEN, AR 71832
(870) 642-4990
(870) 642-7250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1739
AR
225XP0200X
Pediatric Occupational Therapist
OTR1739
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148600721
—
AR
Enumeration date
04/19/2007
Last updated
02/25/2014
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