Organization
LITTLE BLOOM PEDIATRIC THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASIA WALKER (MANAGING MEMBER)
(229) 609-9160
Entity
Organization
Contact information
Practice address
10900 E TAYLOR RD APT 220, GULFPORT, MS 39503-4081
(228) 609-9160
Mailing address
10900 E TAYLOR RD APT 220, GULFPORT, MS 39503-4081
(228) 609-9160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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