Organization
STAR THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTINA ELIZABETH HERNANDEZ (PRESIDENT)
(305) 593-1090
Entity
Organization
Contact information
Practice address
1001 SW 189TH AVE, PEMBROKE PINES, FL 33029-6052
(305) 593-1090
Mailing address
1001 SW 189TH AVE, PEMBROKE PINES, FL 33029-6052
(305) 593-1090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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