Organization
NORTHSTAR THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABSHIR YUSUF HAJI (OWNER)
(614) 822-7532
Entity
Organization
Contact information
Practice address
207 LYNDALE AVE SOUTH SUITE I, FARIBAULT, MN 55021
(614) 822-7532
Mailing address
207 LYNDALE AVE SOUTH SUITE I, FARIBAULT, MN 55021
(614) 822-7532
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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