Individual
MRS. LAURA R STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29770 THREE NOTCH ROAD, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Mailing address
16400 TRIPLE CROWN COURT, HUGHESVILLE, MD 20637
(301) 274-0305
(301) 290-1313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17718
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139917
UNITED HC MAMSI
MD
01
—
60999601
CAREFIRST
MD
01
—
T1620005
BCBS
MD
Enumeration date
09/27/2006
Last updated
07/08/2007
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