Provider Demographics
NPI:1407201536
Name:STARNES, ERRICKA (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:ERRICKA
Middle Name:
Last Name:STARNES
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-3341
Mailing Address - Country:US
Mailing Address - Phone:276-783-7529
Mailing Address - Fax:276-783-7555
Practice Address - Street 1:642 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-3341
Practice Address - Country:US
Practice Address - Phone:276-783-7529
Practice Address - Fax:276-783-7555
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131001527261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation