Organization
BLOOM & BE THERAPY AND EDUCATIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNEMARIE NICHOLS MA, CCC-SLP (OWNER/SLP)
(765) 273-3279
Entity
Organization
Contact information
Practice address
108 S WALNUT ST STE P218, MUNCIE, IN 47305-2847
(765) 273-3279
(833) 409-2179
Mailing address
PO BOX 963, MUNCIE, IN 47308-0963
(765) 273-3279
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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