Timothy Wayne Stark
Timothy Wayne Stark is a Physical Therapist in Austin, Texas. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4532 W Gate Blvd Ste 100Austin, TX 78745-1463
Phone: (512) 892-7337
Fax: (512) 892-7339
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1861024622 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 10, 2020 |
| Last updated in NPPES | February 10, 2020 |
| Certification date | February 10, 2020 |
| Mailing address | 12508 Jones Maltsberger Rd Ste 110, San Antonio, TX 78247-4215 |
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