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Contact Information

KATIE STARK, MOTR/L
2016 S WASHINGTON ST
GRAND FORKS, ND58201-6342
 Phone: 701-360-3305
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Physical Rehabilitation

225XP0019X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KATIE STARK · (Female)

NPI # 1265837991
Status Active
Credentials MOTR/L
Entity Individual
Enumeration date 10/23/2014
Last updated 10/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 987
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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