Organization
BLOSSOM PEDIATRIC THERAPY PNW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORI HELENIUS (BILLING AND CREDENTIALING)
(360) 704-8595
Entity
Organization
Contact information
Practice address
111 TUMWATER BLVD SE STE C210, TUMWATER, WA 98501-6400
(360) 389-3706
Mailing address
1920 71ST AVE SE, TUMWATER, WA 98501-6149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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