Star Rehab Therapy LLC

NPI #1972564110 in Pueblo, Colorado

Provider Information

NPI Number: 1972564110
Entity Type: Organization
Organization Name: Star Rehab Therapy LLC
Subpart: Yes (part of a larger organization)
Parent Organization: STAR PHYSICIANS LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 29, 2006
Last Updated: May 30, 2008

Practice Location

Address: 4109 N ELIZABETH ST
City: Pueblo
State: Colorado
ZIP Code: 81008-2009
Phone: (719) 561-5377

Authorized Official

Name: LYNDA MARIKO TSUHA
Title: CHIEF OPERATING OFFICER
Phone: (719) 561-5377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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