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Contact Information

NORTHERN STAR THERAPY LTD
251 COUNTY ROAD 120
SUITE A
SAINT CLOUD, MN56303
 Phone: 320-259-5429
 Fax: 320-240-8905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NORTHERN STAR THERAPY LTD · (Female)

NPI # 1821031287
Status Active
Credentials
Entity Individual
Enumeration date 06/14/2006
Last updated 03/30/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN Medicaid 234211100
  • MN Medicaid 748070900
  • MN Other 264M1NO BLUE CROSS BLUE SHIELD OF MN
  • MN Other 4G183NO BLUE CROSS BLUE SHIELD OF MN
  • MN Other 6B481NO BLUE CROSS BLUE SHIELD OF MN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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