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Organization

BLOOMING STARS THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALINA KOTSEVA MSCA, OTR/L (CEO)
(415) 653-2990
Entity
Organization

Contact information

Practice address
1335 SAN CARLOS AVE STE A, SAN CARLOS, CA 94070-5604
(650) 592-1819
Mailing address
120 SANTA LUCIA AVE APT 1, SAN BRUNO, CA 94066-5223
(415) 653-2990

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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