Individual provider · Type 1 NPI

Josephine Diana Raggio Stark, PT

Pediatric Physical Therapist · Oakland, CA

NPI number 1366730186 Active

Practice location

275 W Macarthur Blvd
Oakland, CA 94611-5641

Call (510) 752-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X36301 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1366730186

Josephine Diana Raggio Stark, PT's National Provider Identifier is 1366730186, issued on Jul 13, 2011. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Oakland, CA. The record was last updated on Jan 11, 2022.