Once Upon a Star, LLC

NPI #1598135238 in Erie, Colorado

Provider Information

NPI Number
1598135238
Entity Type
Organization
Organization Name
Once Upon a Star, LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Oct 6, 2015
Last Updated
Nov 20, 2015

Practice Location

Address
2724 IRONWOOD PL
City
Erie
ZIP Code
80516-7951
Phone
(303) 710-1199

Authorized Official

Name
CASTARA TEGAN EASTER, M.A. CCC-SLP
Title
SPEECH-LANGUAGE PATHOLOGIST
Phone
(303) 710-1199

Specialties & Taxonomy Codes

Specialty
Home Health
Early Intervention Provider Agency

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