Organization
BLOSSOM PHYSICAL THERAPY AND WELLNESS LLC
Active
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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