| Star Rehab, Llc | |
|
201 S Mcculloch Blvd Pueblo West CO 81007-2892 | |
| (719) 561-5377 | |
| Not Available |
| Full Name | Star Rehab, Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 201 S Mcculloch Blvd, Pueblo West, Colorado |
| Authorized Official Name and Position | Lynda Mariko Tsuha (COO) |
| Authorized Official Contact | 7195615377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Rehab, Llc Po Box 8867 Pueblo CO 81008-8867 Ph: (719) 561-5377 | Star Rehab, Llc 201 S Mcculloch Blvd Pueblo West CO 81007-2892 Ph: (719) 561-5377 |
| NPI Number | 1922000421 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922000421 | NPI | - | NPPES |
| DE2582 | Other | KS | RR MEDICARE |
| 200362680A | Medicaid | KS | |
| 53283589 | Medicaid | CO | |
| DE2582 | Other | CO | RR MEDICARE |
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