Molly K Stark, PT | |
3365 Central Park Village Dr Ste 100, Eagan, MN 55121-7707 | |
(877) 609-0123 | |
(888) 425-0398 |
Full Name | Molly K Stark |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3365 Central Park Village Dr Ste 100, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902689292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13276 (Minnesota) | Primary |
Provider Name | Infinite Health Collaborative Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Mailing Address | Practice Location Address |
---|---|
Molly K Stark, PT 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600 | Molly K Stark, PT 3365 Central Park Village Dr Ste 100, Eagan, MN 55121-7707 Ph: (877) 609-0123 |
Kevin Todd Josephson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4067 Halite Ln, Eagan, MN 55122 Phone: 651-675-6163 | |
Erika Nielsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1284 Corporate Center Dr Ste 500, Eagan, MN 55121 Phone: 612-775-2940 | |
Stephanie Anne Ham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Vikings Cir, Eagan, MN 55121 Phone: 952-456-7600 Fax: 952-456-7601 | |
Maria Barton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1284 Corporate Center Dr, Suite 500, Eagan, MN 55121 Phone: 612-775-2940 | |
Chee Vang, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Vikings Cir, Eagan, MN 55121 Phone: 952-456-7600 Fax: 952-456-7601 | |
Lori A Froehling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1284 Corporate Center Dr, Suite 500, Eagan, MN 55121 Phone: 612-775-2950 Fax: 651-686-0499 | |
Mr. Christian Antony Dawson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1440 Duckwood Dr, Eagan, MN 55122 Phone: 952-808-3000 Fax: 952-808-3001 |