| NPI | 1922000421 |
|---|---|
| Doing Business As | STAR REHAB, LLC |
| Entity Type | Organization |
| Authorized Contact | LYNDA MARIKO TSUHA COO 719-561-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CO 39112) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 44011) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KS 31344) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KS 04-31652) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-08-06 |