Organization
BLUE DOOR PEDIATRIC THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA BRADLEY-POTTER M.A., CCC-SLP (OWNER)
(402) 680-1823
Entity
Organization
Contact information
Practice address
13049 ARLINGTON ST, OMAHA, NE 68164-1643
(402) 680-1823
Mailing address
13049 ARLINGTON ST, OMAHA, NE 68164-1643
(402) 680-1823
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
1242
NE
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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