Organization
AS CHILDREN BLOSSOM THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI E HUBER M.A. OTR/L (OWNER/PARTNER)
(408) 866-4700
Entity
Organization
Contact information
Practice address
621 E CAMPBELL AVE, SUITE 11A, CAMPBELL, CA 95008-2139
(408) 866-4700
(408) 866-1700
Mailing address
621 E CAMPBELL AVE, SUITE 11A, CAMPBELL, CA 95008-2139
(408) 866-4700
(408) 866-1700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/19/2010
Last updated
05/20/2010
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