Healthcare Provider Details

I. General information

NPI: 1417225970
Provider Name (Legal Business Name): STAR PT, LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 12/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S CEDAR ST SUITE B1
TACOMA WA
98405-2308
US

IV. Provider business mailing address

1901 S CEDAR ST SUITE B1
TACOMA WA
98405-2308
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-6910
  • Fax: 253-383-4218
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: VP, AUTHORIZED OFFICIAL
Credential:
Phone: 713-297-7000