Provider Demographics
NPI:1457524308
Name:STARKOVICH, MONICA L (OTR)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:L
Last Name:STARKOVICH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3129 LOMAS RODANDO CALZADA
Mailing Address - Street 2:
Mailing Address - City:KEMPNER
Mailing Address - State:TX
Mailing Address - Zip Code:76539-6854
Mailing Address - Country:US
Mailing Address - Phone:254-289-3499
Mailing Address - Fax:
Practice Address - Street 1:3129 LOMAS RODANDO CALZADA
Practice Address - Street 2:
Practice Address - City:KEMPNER
Practice Address - State:TX
Practice Address - Zip Code:76539-6854
Practice Address - Country:US
Practice Address - Phone:254-289-3499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112214225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist