Organization
BLOOMWELL PEDIATRIC WELLNESS AND PHYSICAL THERAPY INC
Active
Organization
BLOOMWELL PEDIATRIC WELLNESS AND PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR HENDERSON PT, DPT (PHYSICAL THERAPIST, OWNER)
(949) 229-0170
Entity
Organization
Contact information
Practice address
25255 CABOT RD STE 112, LAGUNA HILLS, CA 92653-5507
(949) 229-0170
Mailing address
25255 CABOT RD STE 112, LAGUNA HILLS, CA 92653-5507
(949) 229-0170
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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