Organization
BORN TO BLOOM PEDIATRIC THERAPY
Active
Organization
BORN TO BLOOM PEDIATRIC THERAPY
Active
Other names
Born to Bloom Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CORIN L INTRIERI OTR (OCCUPATIONAL THERAPIST)
(618) 570-1874
Entity
Organization
Contact information
Practice address
2431 GLENMOUNT CT, BELLEVILLE, IL 62221-8803
(618) 570-1874
Mailing address
2431 GLENMOUNT CT, BELLEVILLE, IL 62221-8803
(618) 570-1874
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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