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Organization
STAR INC
Active
Organization
STAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI T SWALDI DPT (PRESIDENT)
(570) 373-3300
Entity
Organization
Contact information
Practice address
600 PARK AVE, MARION HEIGHTS, PA 17832
(570) 373-3300
(570) 373-3363
Mailing address
600 PARK AVE, PO BOX 427, MARION HEIGHTS, PA 17832
(570) 373-3300
(570) 373-3363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012553010001
—
PA
01
—
50014441
BLUE CROSS
PA
01
—
ST1470367
BLUE SHIELD
PW
Enumeration date
08/29/2006
Last updated
09/02/2015
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