Organization
BLOSSOM & GROW PEDIATRIC THERAPY INC.
Active
Organization
BLOSSOM & GROW PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NITZ OTR/L (DIRECTOR)
(352) 422-1126
Entity
Organization
Contact information
Practice address
2736 UNIVERSITY BLVD W STE 6, JACKSONVILLE, FL 32217-2170
(352) 422-1126
(904) 606-0112
Mailing address
2736 UNIVERSITY BLVD W STE 6, JACKSONVILLE, FL 32217-2170
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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