Organization
FULL BLOOM THERAPY AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA HILL SLPA (OWNER)
(904) 868-0618
Entity
Organization
Contact information
Practice address
2016 E STACEY RD, GILBERT, AZ 85298-7458
(904) 868-0618
Mailing address
2016 E STACEY RD, GILBERT, AZ 85298-7458
(904) 868-0618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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