Suzanne Marie Starns, OT

Individual provider Active NPI Occupational Therapist · Pittsboro, IN

NPI 1316764210 · NPPES record last updated Sep 23, 2024

Key facts

NPI
1316764210
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
31004184A (IN)
Practice address
22 Johnston CT
Pittsboro, IN 46167-9456
Phone
(317) 459-1679
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31004184AINMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X 31004184A IN Yes

Addresses

Primary practice location

22 Johnston CT
Pittsboro, IN 46167-9456

Mailing address

22 Johnston CT
Pittsboro, IN 46167-9456
Phone (317) 459-1679

Other providers in Pittsboro, IN

All providers in Pittsboro, IN · Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.