Organization
LITTLE BLOOMERS PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHEDRA FIELDS (OWNER)
(404) 374-5399
Entity
Organization
Contact information
Practice address
160 DEVONSHIRE PL, TYRONE, GA 30290-2593
(404) 374-5399
Mailing address
160 DEVONSHIRE PL, TYRONE, GA 30290-2593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/23/2023
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