Stark, Tracy
Stark, Tracy is an sole proprietor health care provider with primary practice located at 622 N Edgemoor St , Wichita KS 67208-3602. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Stark, Tracy can be contacted via phone (316) 686-5100.Contact Information
Primary practice address
622 N Edgemoor St
Wichita KS 67208-3602
Phone: (316) 686-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 18-0227 | Kansas |
Profile Details
| NPI number | 1386996585 |
|---|---|
| LBN Legal business name | Stark, Tracy |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2012 |
| Last updated | Oct 11th, 2012 - about 12 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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