Organization
BORN TO BLOOM LLC
Active
Other names
Born to Bloom LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. QUANEKA HOSKIN-CHASE MS, OTR/L (OCCUPATIONAL THERAPIST)
(678) 480-1149
Entity
Organization
Contact information
Practice address
5305 LAKEWOOD CREEK AVE, LAS VEGAS, NV 89141
(678) 480-1149
Mailing address
304 S JONES BLVD # 5654, LAS VEGAS, NV 89107-2623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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