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Organization
BLOOM PEDIATRIC THERAPY, LLC
Active
Organization
BLOOM PEDIATRIC THERAPY, LLC
Active
Other names
Bloom Pediatric Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GARZAREK MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(205) 919-2134
Entity
Organization
Contact information
Practice address
109 LANE PARK DR, MAYLENE, AL 35114-6085
(205) 919-2134
Mailing address
109 LANE PARK DR, MAYLENE, AL 35114-6085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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