Individual
HEATHER RENEE STARBUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2729 KING ST, ALEXANDRIA, VA 22302-4008
(703) 836-8838
Mailing address
5646 GOVERNORS POND CIR, ALEXANDRIA, VA 22310-2348
(804) 307-9301
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119003447
VA
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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