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Organization

STAR PT INC

Active
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Organization

STAR PT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY L JOLLIFF MPT (DIRECTOR/MPT)
(419) 443-1429
Entity
Organization

Contact information

Practice address
3101 W US RT 224, TIFFIN, OH 44883
(419) 443-1429
(419) 443-1691
Mailing address
3101 W US RT 224, TIFFIN, OH 44883
(419) 443-1429
(419) 443-1691

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1442035
BWC
OH
05
2527699
OH
Enumeration date
01/13/2006
Last updated
06/12/2009
About Stedi
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  • Eligibility checks
  • EDI platform