# BLUE DOOR PEDIATRIC THERAPY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497145387
- **Authorized official:** MRS. MELISSA BRADLEY-POTTER M.A., CCC-SLP (OWNER)
- **Authorized official phone:** (402) 680-1823

## Contact information

- **Practice address:** 13049 ARLINGTON ST, OMAHA, NE 68164-1643
- **Practice address phone:** (402) 680-1823
- **Mailing address:** 13049 ARLINGTON ST, OMAHA, NE 68164-1643
- **Mailing address phone:** (402) 680-1823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 1242 | NE | Yes |

## Other

- **Enumeration date:** 01/29/2015
- **Last updated:** 01/29/2015