Organization
RISING STARS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSIPPORA FEDERGRUN OT (OCCUPATIONAL THERAPIST/DIRECTOR)
(646) 937-0644
Entity
Organization
Contact information
Practice address
6112 STUART AVE, BALTIMORE, MD 21209-4022
(646) 937-0644
Mailing address
6112 STUART AVE, BALTIMORE, MD 21209-4022
(646) 937-0644
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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