Organization
STAR PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE VITOUSEK DPT (OWNER/PHYSICAL THERAPIST)
(808) 747-4239
Entity
Organization
Contact information
Practice address
81-6264 MAMALAHOA HWY, KEALAKEKUA, HI 96750
(808) 747-4239
Mailing address
PO BOX 2328, KEALAKEKUA, HI 96750
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3114
HI
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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