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NPI Code Detail

MEDICARE: MRS. CLAUDIA B STARR PT

MEDICARE: MRS. CLAUDIA B STARR PT
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
12251P0200XPediatric Physical Therapist2626AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15Y015OTHERARBLUE CROSS

General Provider Information

NPI Number : 1710924923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CLAUDIA B STARR PT
Provider Business Mailing Address
First Line : 330 CRESTVIEW DR
Second Line :
City : BENTONVILLE
State : AR
Zip : 72712-5137
Country : US
Telephone Number : 479-619-9851
Fax Number : 479-621-8506
Provider Business Practice Location Address
First Line : 1000 W POPLAR ST
Second Line :
City : ROGERS
State : AR
Zip : 72756-4242
Country : US
Telephone Number : 479-621-8500
Fax Number : 479-621-8506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CLAUDIA B STARR PT” Practice Location

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