Organization
BLOSSOM PEDIATRIC THERAPY, LLC
Active
Organization
BLOSSOM PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J MINNIS MOTR/L (OCCUPATIONAL THERAPIST)
(913) 299-4855
Entity
Organization
Contact information
Practice address
12351 W 96TH TER STE 105, LENEXA, KS 66215-4410
(913) 299-4855
(888) 965-8977
Mailing address
12351 W 96TH TER STE 105, LENEXA, KS 66215-4410
(913) 299-4855
(888) 965-8977
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17-03143
KS
Other
Enumeration date
08/09/2017
Last updated
07/21/2022
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