Organization
BLOOM THERAPY AND WELLNESS, LLC
Active
Organization
BLOOM THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY WEBERPAL OTR/L (OCCUPATIONAL THERAPIST, OWNER)
(608) 218-4602
Entity
Organization
Contact information
Practice address
3412 CRICKETEER DR, JANESVILLE, WI 53546-9657
(608) 218-4602
Mailing address
3412 CRICKETEER DR, JANESVILLE, WI 53546-9657
(608) 218-4602
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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