Organization
BLOSSOM THERAPY SERVICES
Active
Other names
PATRICIA PILAR DIAZ-PORTELA
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PILAR DIAZ-PORTELA (PRESIDENT)
(787) 408-2448
Entity
Organization
Contact information
Practice address
7512 BOUNTY AVE, NORTH BAY VILLAGE, FL 33141-4110
(787) 408-2448
(786) 536-7045
Mailing address
7512 BOUNTY AVE, NORTH BAY VILLAGE, FL 33141-4110
(787) 408-2448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/23/2024
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