Jason Lynn Stark, OTR
Occupational Therapist, Pediatrics in Spring, TX. Individual provider (NPI-1).
NPI number1932272283
StatusActive
Last updated in NPPESApr 15, 2011
Details
- NPI
- 1932272283
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Lynn Stark
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Apr 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 109631 | TX | Yes |
| 225X00000X | Occupational Therapist | 109631 | TX | |
| 225XN1300X | Occupational Therapist, Neurorehabilitation | 109631 | TX |
Practice location
16835 Deer Creek Dr Ste 120Spring, TX 77379-5803
Phone 281-379-4373 · Fax 713-655-0762
Mailing address
1022 Euclid StHouston, TX 77009-7100
Phone 713-397-2708 · Fax 281-655-0762
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Other Pediatric Occupational Therapist providers in Spring, TX
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- Kaleb HarrisNPI 1619541059
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All 21 Pediatric Occupational Therapist providers in Spring · All 5,637 providers in Spring
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