Angelica Stark, MSOT, OTR/L
Occupational Therapist in New York, NY. Individual provider (NPI-1).
NPI number1104764059
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1104764059
- Entity type
- Individual (NPI-1)
- Name
- Angelica Stark
- Credential
- MSOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2026
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 031031 | NY | Yes |
Practice location
976 Amsterdam AveNew York, NY 10025-2201
Phone 212-222-9305 · Fax 212-222-8129
Mailing address
1555 2nd Ave Apt 4fNew York, NY 10028-3909
Phone 917-701-0318
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