Organization
BLOOM PEDIATRIC THERAPY, LLC
Active
Other names
Bloom Pediatric Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GARZAREK MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(205) 919-2134
Entity
Organization
Contact information
Practice address
109 LANE PARK DR, MAYLENE, AL 35114-6085
(205) 919-2134
Mailing address
109 LANE PARK DR, MAYLENE, AL 35114-6085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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