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Andrea Stark, OTR
NPI 1518194737 · on the registry since 2009 · sole proprietor
Practice
- Address
- 8313 Asta Ct
Benbrook, TX 76126 - Phone
- (817) 907-7484
- Fax
- (817) 244-4652
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas