Individual
MR. JASON LYNN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
16835 DEER CREEK DR STE 120, SPRING, TX 77379-5803
(281) 379-4373
(713) 655-0762
Mailing address
1022 EUCLID ST, HOUSTON, TX 77009-7100
(713) 397-2708
(281) 655-0762
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109631
TX
225XN1300X
Neurorehabilitation Occupational Therapist
109631
TX
225XP0200X
Pediatric Occupational Therapist
Primary
109631
TX
Other
Enumeration date
11/16/2006
Last updated
04/15/2011
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