Individual
STACY LEE STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
719 JENKINS RD, FORSYTH, GA 31029-6443
(478) 394-0923
(478) 994-8935
Mailing address
719 JENKINS RD, FORSYTH, GA 31029-6443
(478) 394-0923
(478) 994-8935
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001286
GA
Other
Enumeration date
03/13/2007
Last updated
07/09/2007
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