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Organization

BLOSSOM & BLOOM THERAPY SERVICES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNA TAYLOR (OCCUPATIONAL THERAPIST/OWNER)
(772) 321-5042
Entity
Organization

Contact information

Practice address
1005 BARBER ST, SEBASTIAN, FL 32958-5560
(772) 321-5042
Mailing address
1005 BARBER ST, SEBASTIAN, FL 32958-5560
(772) 321-5042

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024670900
FL
Enumeration date
05/20/2022
Last updated
05/20/2022
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