Individual
ELLIOT STARCEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
68 S BALTIC PL, MERIDIAN, ID 83642-5935
(208) 898-0988
Mailing address
651 S WALNUT AVE # D226, NEW BRAUNFELS, TX 78130-5722
15125769884
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1608
ID
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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