Organization
BLOOMING INTO MOTHERHOOD LLC
Active
Organization
BLOOMING INTO MOTHERHOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA ALBERT OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(207) 808-2081
Entity
Organization
Contact information
Practice address
499 STEVENS AVE, PORTLAND, ME 04103-2678
(207) 808-2081
Mailing address
PO BOX 1707, SCARBOROUGH, ME 04070-1707
(207) 808-2081
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT815
ME
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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