Provider Demographics
NPI:1932497765
Name:STARLING, DAWN ALISA (OT/L)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ALISA
Last Name:STARLING
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 S FUQUAY AVE
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2210
Mailing Address - Country:US
Mailing Address - Phone:919-557-8305
Mailing Address - Fax:919-557-8306
Practice Address - Street 1:119 S FUQUAY AVE
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2210
Practice Address - Country:US
Practice Address - Phone:919-557-8305
Practice Address - Fax:919-557-8306
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7376225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics