Organization
BLOSSOM PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILENA LUCHETTA DA COSTA DPT (PHYSICAL THERAPIST)
(216) 816-5212
Entity
Organization
Contact information
Practice address
11676 PERRY HWY STE 2309, WEXFORD, PA 15090-7200
(216) 816-5212
Mailing address
9911 LE GRAND DR, WEXFORD, PA 15090-7012
(216) 816-5212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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