Organization Name: | STAR SPINE THERAPY & AMPUTEE REHABILITATION, PLLC |
NPI Number: | 1093084469 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ABRAHAM ISSAC LIEBERMAN (OWNER, PHYSICAL THERAPIST) |
Mailing Address: | 5420 Dashwood Dr Ste 306 Houston |
State: | TX US |
Postal Code: | 770815360 |
Phone Number: | 8325883552 |
Fax Number: | 7134562583 |
NPI Enumeration Date: | 12/14/2011 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1192943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |