Individual
MARIA BENITEZ STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT,OCS,FAAOMPT
Contact information
Practice address
1303 NE CUSHING DR, SUITE 150, BEND, OR 97701-3891
(541) 382-7875
(541) 382-2181
Mailing address
805 SW INDUSTRIAL WAY, STE 3, BEND, OR 97702-1093
(541) 585-2541
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60802
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500684311
—
OR
Enumeration date
08/18/2006
Last updated
03/17/2016
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