NPI 1558948000
Jennifer Stark, CTRS
Practice location
- Address
- 215 N Main St, White River Junction, VT 05009-0001
- Phone
- (802) 295-9363
- Mailing address
- 12 Delores St, Newport, NH 03773-2807
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1558948000
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Mar 2021
- Record last updated
- 29 Mar 2021
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.