Organization
BLOSSOM THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIUSZ SZCZESNOWICZ (MEMBER)
(443) 839-2268
Entity
Organization
Contact information
Practice address
7411 RIGGS RD STE 308, ADELPHI, MD 20783-4246
(443) 839-2268
Mailing address
6612 WEAVER CT, LAUREL, MD 20707-2797
(443) 839-2268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
03/05/2024
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