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Organization
STAR REHAB LLC
Active
Organization
STAR REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENUGOPAL DIVYA PT (MANAGING MEMBER)
(267) 275-1219
Entity
Organization
Contact information
Practice address
41465 SPECKLED ALDER CT, ALDIE, VA 20105-6036
(267) 275-1219
(571) 698-4114
Mailing address
41465 SPECKLED ALDER CT, ALDIE, VA 20105-6036
(267) 275-1219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/09/2024
Last updated
09/02/2026
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