Kristina Stark
Physical Therapist, Pediatrics in Broomfield, CO. Individual provider (NPI-1).
NPI number1982141552
StatusActive
Last updated in NPPESJan 20, 2017
Details
- NPI
- 1982141552
- Entity type
- Individual (NPI-1)
- Name
- Kristina Stark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2017
- Last updated
- Jan 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 0009547 | CO | Yes |
Practice location
8401 Arista PlBroomfield, CO 80021-4154
Phone 720-777-1330
Mailing address
8401 Arista PlBroomfield, CO 80021-4154
Phone 720-777-1330
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