Organization
BLUEBIRD PEDIATRIC THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE M PETERS M.S.OTR/L (OWNER/PEDIATRIC OT)
(251) 753-1613
Entity
Organization
Contact information
Practice address
6312 PICCADILLY SQUARE DR, SUITE 3, MOBILE, AL 36609-5143
(251) 287-0378
(251) 287-0466
Mailing address
6312 PICCADILLY SQUARE DR, SUITE 3, MOBILE, AL 36609-5143
(251) 287-0378
(251) 287-0466
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
3077
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130837
—
AL
Enumeration date
07/27/2011
Last updated
09/07/2011
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