Rising Star Therapy Specialist, Lcc

NPI Provider: 1134125354
Contact Name: Lindsey Sue Michelle
Position: CEO and PT
Phone: (602) 531-6306

Rising Star Therapy Specialist, Lcc Information:

Rising Star Therapy Specialist, Lcc organization have npi 1134125354, taxonomy code is 225100000X with license number is in . This Business address located in 10613 N 23rd St, Phoenix, AZ 85028 Arizona.

Practice Location
Address: 10613 N 23rd St, Phoenix, AZ 85028
Phone: (602) 955-9332

Business Location
Address: 10613 N 23rd St, Phoenix, AZ 85028
Phone: (602) 955-9332
Fax: (602) 531-6306

Taxonomy

Taxonomy Code: 225100000X

License Number:

License Number of State:

Primary Taxonomy Switch: X

Enumeration Date: 6/22/2005

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