| NPI | 1003890229 |
|---|---|
| Former Name | CHRISTINE MARIE STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT17235) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 17235) |
| 2251H1200X Physical Therapist, Hand (Licence: CA PT17235) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2019-11-07 |