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Organization
SHOOTING STAR PEDIATRIC PHYSICAL THERAPY LLC
Active
Organization
SHOOTING STAR PEDIATRIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY ANN O'MAHONEY MPT (OWNER)
(952) 373-1180
Entity
Organization
Contact information
Practice address
8120 PENN AVE S STE 500C, BLOOMINGTON, MN 55431-1367
(952) 373-1180
Mailing address
8120 PENN AVE S STE 500C, BLOOMINGTON, MN 55431-1367
(952) 373-1180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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