Organization
BLOOM THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BRACK MOT (MANAGER, OTR)
(337) 202-0568
Entity
Organization
Contact information
Practice address
1103 WALNUT ST, DERIDDER, LA 70634-2731
(337) 202-0568
Mailing address
1103 WALNUT ST, DERIDDER, LA 70634-2731
(337) 202-0568
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
01/10/2025
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