Individual
VIRGINIA M STARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1515 E 1400 N, NORTH MANCHESTER, IN 46962-8156
(801) 710-6820
Mailing address
1720 ALBER ST, WABASH, IN 46992-1015
(260) 563-4112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003617A
IN
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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