Organization
STAR PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM DEPAULIS MSPT (OWNER)
(856) 608-7733
Entity
Organization
Contact information
Practice address
127 ARK RD, SUITE 23, MOUNT LAUREL, NJ 08054-6302
(856) 608-7733
(856) 608-7750
Mailing address
127 ARK RD, SUITE 23, MOUNT LAUREL, NJ 08054-6302
(856) 608-7733
(856) 608-7750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01360800
NJ
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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