Organization
SCPT STAR CARE PHYSICAL THERAPY, INC.
Active
Other names
Star Care Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI SHAKAMURI M.S. (ADMINISTRATOR)
(432) 580-7707
Entity
Organization
Contact information
Practice address
620 N GRANT AVE STE 100, ODESSA, TX 79761-4541
(432) 580-7707
(432) 580-7937
Mailing address
620 N GRANT AVE STE 100, ODESSA, TX 79761-4541
(432) 580-7707
(432) 580-7937
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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