Organization
BLUE STARS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGET MARY HORMBERG MOT, OTR/L (CO-OWNER/CO-FOUNDER)
(314) 650-9288
Entity
Organization
Contact information
Practice address
1101 EDWARD TER APT A, SAINT LOUIS, MO 63117-1520
(314) 650-9288
Mailing address
1101 EDWARD TER APT A, SAINT LOUIS, MO 63117-1520
(314) 650-9288
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2014027319
MO
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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