Organization
BLOOM PEDIATRIC THERAPY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLA DAVIS OTR/L (OCCUPATIONAL THERAPIST)
(717) 475-5616
Entity
Organization
Contact information
Practice address
7 SHENKS WOOD CT, NEW PROVIDENCE, PA 17560-9529
(717) 475-5616
Mailing address
7 SHENKS WOOD CT, NEW PROVIDENCE, PA 17560-9529
(717) 475-5616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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