Organization
BLOOM CREATIVE ARTS AND THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN COLTONIAK (EXECUTIVE DIRECTOR)
(716) 982-5170
Entity
Organization
Contact information
Practice address
7821 ERIE RD, DERBY, NY 14047-9502
(716) 549-0585
Mailing address
73 ROVNER PL, HAMBURG, NY 14075-4205
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
12/05/2023
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