Organization
BREAKTHROUGH THEARPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY BLOOM MS, CCC-SLP (DIRECTOR)
(954) 474-8048
Entity
Organization
Contact information
Practice address
12545 ORANGE DR, SUITE 502, DAVIE, FL 33330-4306
(954) 474-8048
(954) 474-8145
Mailing address
12545 ORANGE DR, SUITE 502, DAVIE, FL 33330-4306
(954) 474-8048
(954) 474-8145
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
SA6787
FL
Other
Enumeration date
06/12/2008
Last updated
07/08/2008
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