Molly Rose Stark, OTR/L
Occupational Therapist in San Rafael, CA. Individual provider (NPI-1).
NPI number1346854908
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1346854908
- Entity type
- Individual (NPI-1)
- Name
- Molly Rose Stark
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT21162 | CA | Yes |
Practice location
234 N San Pedro RdSan Rafael, CA 94903-2858
Phone 415-479-3450
Mailing address
7630 Geary Blvd Apt 105San Francisco, CA 94121-1555
Phone 339-225-1614
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All 42 Occupational Therapist providers in San Rafael · All 3,698 providers in San Rafael
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