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Organization
BLOOM CREATIVE ARTS AND THERAPY CLINIC
Active
Organization
BLOOM CREATIVE ARTS AND THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN COLTONIAK (EXECUTIVE DIRECTOR)
(716) 982-5170
Entity
Organization
Contact information
Practice address
7821 ERIE RD, DERBY, NY 14047-9502
(716) 549-0585
Mailing address
73 ROVNER PL, HAMBURG, NY 14075-4205
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
06/14/2017
Last updated
12/05/2023
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