Organization
BRIGHT STAR THERAPY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERI HAIKEN SLP (OWNER)
(732) 667-7778
Entity
Organization
Contact information
Practice address
266 KING GEORGE RD, WARREN, NJ 07059-5120
(732) 667-7778
(732) 667-7780
Mailing address
266 KING GEORGE RD, WARREN, NJ 07059-5120
(732) 667-7778
(732) 667-7780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC00357300
NJ
225100000X
Physical Therapist
40QA00819800
NJ
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
46TR00249600
NJ
225XP0200X
Pediatric Occupational Therapist
46TR00249600
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
41YS00259000
NJ
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/25/2011
Last updated
01/07/2014
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