Individual provider · Type 1 NPI
Angela Ruth Stork, M.S.P.T.
Specialist · Barnhart, MO
NPI number
1629122205
Active
Practice location
6717 Armistead Ct
Barnhart, MO 63012-1166
Fax (636) 942-3262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | PT100016 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1629122205
Angela Ruth Stork, M.S.P.T.'s National Provider Identifier is 1629122205, issued on Jan 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Barnhart, MO. The record was last updated on Jul 9, 2007.