Virginia M Starker, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · North Manchester, IN
NPI 1336854306 · NPPES record last updated Jan 13, 2023
Key facts
- NPI
- 1336854306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32003617A (IN)
- Practice address
- 1515 E 1400 N
North Manchester, IN 46962-8156 - Phone
- (801) 710-6820
- NPI assigned
- Jan 13, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 32003617A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32003617A | IN | Yes |
Addresses
Primary practice location
1515 E 1400 N
North Manchester, IN 46962-8156
Mailing address
1720 Alber St
Wabash, IN 46992-1015
Phone (260) 563-4112
Other providers in North Manchester, IN
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- Rita A. Spears
- Joy Elizabeth Struble
- Amanda Swangin
- Nathan D Trump
- Ignacio A Ubilla
- Emily Christine Vanderpool
All providers in North Manchester, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.