Stark, Timothy T

Stark, Timothy T is an individual health care provider with primary practice located at 6000 Hillandale Dr Ste 145, Lithonia GA 30058-4840. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stark, Timothy T can be contacted via phone (678) 418-8072.

Contact Information

Primary practice address
6000 Hillandale Dr Ste 145 Lithonia GA 30058-4840
Phone: (678) 418-8072
Fax: (678) 518-0137
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1861945636
LBN Legal business name Stark, Timothy T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2016
Last updated Jul 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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