Individual
SONJA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
201 S NORTHPARK LN, JOPLIN, MO 64801-8426
(417) 622-4768
Mailing address
8216 COUNTY ROAD 166, CARTHAGE, MO 64836-8628
(417) 629-4797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019005140
MO
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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