Shooting Star Pediatric Physical Therapy LLC
NPI #1952091464 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1952091464
- Entity Type
- Organization
- Organization Name
- Shooting Star Pediatric Physical Therapy LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 9, 2023
- Last Updated
- May 9, 2023
Practice Location
- Address
- 8120 PENN AVE S STE 500C
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-1367
- Phone
- (952) 373-1180
Authorized Official
- Name
- LINDSAY ANN O'MAHONEY, MPT
- Title
- OWNER
- Phone
- (952) 373-1180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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