Organization
BLOOM PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE SPILLMAN MS CCC SLP (OWNER)
(270) 646-6393
Entity
Organization
Contact information
Practice address
722 LESLIE AVE, GLASGOW, KY 42141-2115
(270) 646-6393
Mailing address
722 LESLIE AVE, GLASGOW, KY 42141-2115
(270) 646-6393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/09/2021
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