Provider Demographics
NPI:1477008357
Name:STARUK, DARLENE (OTR/L)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:STARUK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 OLD COMMON RD # A
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-3246
Mailing Address - Country:US
Mailing Address - Phone:774-420-9819
Mailing Address - Fax:
Practice Address - Street 1:60 OLD COMMON RD # A
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-3246
Practice Address - Country:US
Practice Address - Phone:774-420-9819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5279225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist