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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