Individual
MRS. OLIVIA ELENA STARACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.-ASSIST
Contact information
Practice address
22365 BARTON RD, #212, GRAND TERRACE, CA 92313-5015
(909) 885-5357
(909) 885-8112
Mailing address
81031 AURORA AVE, INDIO, CA 92201-6628
(760) 775-0221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 1022
CA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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