Whalio Doctors

NPI 1558948000

Jennifer Stark, CTRS

Practitioner Recreation Therapist White River Junction, VT

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 60094

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.