Organization
BLOOMING TREE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONA M MILES (OWNER/ADMINISTRATOR)
(870) 819-1666
Entity
Organization
Contact information
Practice address
115 CHERRY ST, BROOKLAND, AR 72417-8839
(870) 336-2778
(870) 336-9055
Mailing address
115 CHERRY ST, BROOKLAND, AR 72417-8839
(870) 336-2778
(870) 336-9055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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