NPI: 1922000421
Provider Name: STAR REHAB PROF PHYSICIANS, LLC
Doing Business As: STAR REHAB, LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization
Specialization: Pain Medicine
Address:
201 S MCCULLOCH BLVD
PUEBLO WEST, CO
ZIP 81007
Phone: (719) 561-5377
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STAR REHAB PROF PHYSICIANS, LLC is a pain medicine physical medicine rehabilitation in Pueblo West, CO. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. STAR REHAB PROF PHYSICIANS, LLC NPI is 1922000421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Star Rehab, Llc.
The provider's business location address is:
201 S MCCULLOCH BLVD
PUEBLO WEST, CO
ZIP 81007-892
Phone: (719) 561-5377
The provider's authorized official is Lynda Mariko Tsuha .
The authorized official title is Coo and has the following contact phone number (719) 561-5377.
The enumeration date for this NPI number is 8/15/2005 and was last updated on 8/6/2009.