NPI 1174129340

Bright Star Therapy INC

Organisation Early Intervention Provider Agency Rochester, MN

Practice location

Address: 1500 1st Ave NE STE 100, Rochester, MN 55906-4170
Phone: (612) 990-8631
Fax: (612) 886-2618

Authorised official

Name: Abdirahman Mohamed
Title: Owner
Phone: (612) 990-8631

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1174129340
Entity type: Organization
NPI issued: 11 Dec 2020
Record last updated: 11 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.