Organization
BLOSSOM THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENILDE MENDIOLA SLP (OWNER/ADMIN)
(956) 739-1795
Entity
Organization
Contact information
Practice address
1905 LAUREL OAK WAY, EDINBURG, TX 78539-7348
(956) 739-1795
(956) 587-0245
Mailing address
1905 LAUREL OAK WAY, EDINBURG, TX 78539-7348
(956) 739-1795
(956) 587-0245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24775
TX
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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