Organization
BLUE STAR THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ANN HAMANN P.T. (PRESIDENT)
(904) 249-8865
Entity
Organization
Contact information
Practice address
504 OSCEOLA AVE, JACKSONVILLE BEACH, FL 32250-4030
(904) 249-8865
(904) 853-5592
Mailing address
504 OSCEOLA AVE, JACKSONVILLE BEACH, FL 32250-4030
(904) 249-8865
(904) 853-5592
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
21508
FL
Other
Enumeration date
11/17/2008
Last updated
01/17/2017
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