Individual
STARRLA DONAVANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1576 MERRITT BLVD STE 7, BALTIMORE, MD 21222-2114
(410) 650-2145
Mailing address
404 WHEATON PL APT E, CATONSVILLE, MD 21228-3316
(443) 904-0048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4974
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2018
Last updated
10/20/2020
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