Individual
MR. ANDREW JOHN STARSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT, PHD
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6048-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6048-024
PHYSICAL THERAPIST LICENSE NUMBER
WI
Enumeration date
01/04/2010
Last updated
01/04/2010
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