Organization
BLOOMING CONNECTIONS PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BRYNELSEN (SPEECH LANGUAGE PATHOLOGIST)
(651) 269-5055
Entity
Organization
Contact information
Practice address
3030 92ND AVE NE, BLAINE, MN 55449-5624
(651) 269-5055
Mailing address
3030 92ND AVE NE, BLAINE, MN 55449-5624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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