Organization
BLOOM PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA BOLDUC DPT (OWNER)
(203) 417-5864
Entity
Organization
Contact information
Practice address
17 COMMONS DR UNIT 6, LITCHFIELD, CT 06759
(203) 417-5864
Mailing address
43 MAPLE VIEW TRL, LITCHFIELD, CT 06759-2125
(203) 417-5864
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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