Individual
MS. MARY SUZANNE STARSEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, LOT
Contact information
Practice address
40 BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(804) 784-3514
Mailing address
9702 GAYTON RD, #323, RICHMOND, VA 23238-4907
(804) 869-5774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002857
VA
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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