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Organization

BRIDGE & BLOOM SPEECH THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARISSA KENNEDY-CASTILLO (SPEECH-LANGUAGE PATHOLOGIST)
(951) 733-1220
Entity
Organization

Contact information

Practice address
5933 OATFIELD AVE, EASTVALE, CA 92880-6407
(951) 733-1220
Mailing address
12495 LIMONITE AVE # 1059, EASTVALE, CA 91752-2457
(951) 733-1220

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
10/07/2025
Last updated
10/07/2025
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