NPI 1114556602

Jonathan Paul Stark, PTDPT

Practitioner Physical Therapist Sparta, NJ

Practice location

Address: 580 State Route 15, Sparta, NJ 07871-3483
Phone: (973) 862-4177
Mailing address: 38 Park St APT 11d, Florham Park, NJ 07932-1736

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 40QA01802200 (NJ)

Other Physical Therapist providers in New Jersey →

Registry record

NPI: 1114556602
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2020
Record last updated: 6 Apr 2020

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.