Traci Jean Starke, OTR

NPI #1528250206 in Macomb, Michigan

Provider Information

NPI Number: 1528250206
Entity Type: Individual
Name: Traci Jean Starke, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OTR
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 47667 BEACON SQUARE DR
City: Macomb
State: Michigan
ZIP Code: 48044-2870
Phone: (586) 228-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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