Organization
SPORTS THERAPY AND ADVANCED REHABILITATION, INC.
Active
Other names
STAR Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MILISSA R BERRY (OFFICE MANAGER)
(512) 288-2700
Entity
Organization
Contact information
Practice address
7401 W HIGHWAY 71 STE 130, AUSTIN, TX 78735-8260
(512) 288-2700
(512) 288-2711
Mailing address
7401 W HIGHWAY 71 STE 130, AUSTIN, TX 78735-8260
(512) 288-2700
(512) 288-2711
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
651590000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059J
BCBS ID
TX
Enumeration date
08/08/2006
Last updated
10/22/2014
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