Organization
BRIGHT STAR THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRAHMAN MOHAMED SR. (OWNER)
(612) 990-8631
Entity
Organization
Contact information
Practice address
1500 1ST AVE NE STE 100, ROCHESTER, MN 55906-4170
(612) 990-8631
(612) 886-2618
Mailing address
1500 1ST AVE NE STE 100, ROCHESTER, MN 55906-4170
(612) 990-8631
(612) 886-2618
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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