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Individual

ASSATA STARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2401 4TH ST NW, WASHINGTON, DC 20059-1002
(202) 806-6870
Mailing address
3636 16TH ST NW, WASHINGTON, DC 20010-1146
(816) 200-9430

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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