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Organization
STAR REHAB THERAPY LLC
Active
Organization
STAR REHAB THERAPY LLC
Active
Parent organization
STAR PHYSICIANS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STAR PHYSICIANS LLC
Authorized official
LYNDA MARIKO TSUHA (CHIEF OPERATING OFFICER)
(719) 561-5377
Entity
Organization
Contact information
Practice address
4109 N ELIZABETH ST, PUEBLO, CO 81008-2009
(719) 561-5377
(719) 561-5378
Mailing address
PO BOX 8867, PUEBLO, CO 81008-8867
(719) 561-5377
(719) 561-5378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65971850
—
CO
Enumeration date
03/29/2006
Last updated
05/30/2008
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