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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