Organization
BLOSSOMING BEGINNINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY DOLIN MATTES COTA/L (OWNER/ OCCUPATIONAL THERAPY)
(919) 390-4827
Entity
Organization
Contact information
Practice address
3021 POLENTA RD, CLAYTON, NC 27520-8944
(919) 390-4827
Mailing address
3021 POLENTA RD, CLAYTON, NC 27520-8944
(919) 390-4827
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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