NPI 1306956073
Stacey Stark
Practice location
- Address
- 82 New Park Ave, North Franklin, CT 06254-1807
- Phone
- (860) 823-6221
- Mailing address
- 148 Woodbine Rd, Colchester, CT 06415-1884
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1306956073
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Aug 2006
- Record last updated
- 26 Nov 2012
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.