Organization
LITTLE STAR THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE KATRINA MARTINEZ (OWNER)
(305) 458-8688
Entity
Organization
Contact information
Practice address
15485 EAGLE NEST LN STE 220, MIAMI LAKES, FL 33014-2222
(786) 477-5783
Mailing address
6840 SW 14TH ST, MIAMI, FL 33144-5531
(305) 458-8688
(305) 458-8688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021572800
—
FL
01
—
021982000
EARLY STEPS
FL
Enumeration date
09/21/2010
Last updated
12/27/2024
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