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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