NPI 1093105678

Amanda J. Stark, MED

Practitioner Rehabilitation Counselor Dublin, OH

Practice location

Address: 5500 Glendon CT, Dublin, OH 43016-3246
Phone: (877) 641-2010
Fax: (614) 822-3929
Mailing address: PO Box 182848, Columbus, OH 43218-2848

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 00096802 (IL)

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Registry record

NPI: 1093105678
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2015
Record last updated: 3 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.