Organization
FUNCTIONAL THERAPEUTICS INC DBA BRIGHTSTAR HEALTHCARE
Active
Other names
BrightStar Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OREST CARNEVALE RN (PRESIDENT)
(414) 332-3884
Entity
Organization
Contact information
Practice address
5261 N PORT WASHINGTON RD STE 201, GLENDALE, WI 53217-4903
(414) 332-3884
(414) 332-3887
Mailing address
5261 N PORT WASHINGTON RD STE 201, GLENDALE, WI 53217-4903
(414) 332-3884
(414) 332-3887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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