| Abigail Stark, OTR/L | |
|
375 Faunce Corner Rd Ste C, North Dartmouth, MA 02747-1258 | |
| (774) 425-7906 | |
| Not Available |
| Full Name | Abigail Stark |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 375 Faunce Corner Rd Ste C, North Dartmouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851116248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTL15279 (Massachusetts) | Primary |
| Provider Name | Bay State Physical Therapy Of Randolph Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Stark, OTR/L 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 807-6138 | Abigail Stark, OTR/L 375 Faunce Corner Rd Ste C, North Dartmouth, MA 02747-1258 Ph: (774) 425-7906 |
Lisa Christine Riley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-984-7226 Fax: 508-984-7212 | |
Kimberly Roberts, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-984-7226 Fax: 508-984-7212 | |
Joy H Ladd, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 536 Hawthorn St, North Dartmouth, MA 02747 Phone: 508-984-4896 Fax: 508-984-4899 |