MEDICARE: SABRINA STARKS OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	124635	TX
2	224Z00000X	Occupational Therapy Assistant		TX
3	225X00000X	Occupational Therapist	124635	TX

General Provider Information

NPI Number	:	1740863505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA STARKS OTR

Provider Business Mailing Address
First Line	:	6703 BETHUNE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-1821
Country	:	US
Telephone Number	:	832-707-4258
Fax Number	:

Provider Business Practice Location Address
First Line	:	6703 BETHUNE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-1821
Country	:	US
Telephone Number	:	832-707-4258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	06/09/2024

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Directions to “ SABRINA STARKS OTR” Practice Location

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