Organization
BLOOM PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYLA M HARTT OTD, OTR/L (OWNER)
(207) 554-0127
Entity
Organization
Contact information
Practice address
20 BIRCHWOOD AVE, WINDHAM, ME 04062-5124
(207) 554-0127
Mailing address
20 BIRCHWOOD AVE, WINDHAM, ME 04062-5124
(207) 554-0127
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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