Provider Demographics
NPI:1831214873
Name:STARNES, WENDY J (OTR)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:J
Last Name:STARNES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:PRESECAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:2000 PINE CREEK BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-1398
Mailing Address - Country:US
Mailing Address - Phone:772-567-3294
Mailing Address - Fax:
Practice Address - Street 1:7975 17TH LN
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966
Practice Address - Country:US
Practice Address - Phone:772-567-3228
Practice Address - Fax:772-567-3229
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12556225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist