Individual
MS. POLINA STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8384 116TH ST APT 6E, RICHMOND HILL, NY 11418-3443
(718) 578-9786
Mailing address
6620 WETHEROLE ST APT 3H, REGO PARK, NY 11374-4624
(718) 578-9786
(888) 258-9575
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
015493-1
NY
225XP0200X
Pediatric Occupational Therapist
015493-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03182285
—
NY
Enumeration date
08/25/2009
Last updated
01/13/2011
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