Organization
BLOSSOMS PEDIATRIC OCCUPATIONAL THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRANDT MA, OTR/L (OWNER)
(973) 832-7266
Entity
Organization
Contact information
Practice address
1501 HAMBURG TURNPIKE, SUITE 305, WAYNE, NJ 07470
(973) 832-7266
(973) 694-3201
Mailing address
1501 HAMBURG TURNPIKE, SUITE 305, WAYNE, NJ 07470
(973) 832-7266
(973) 694-3201
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00378600
NJ
Other
Enumeration date
03/16/2014
Last updated
07/21/2022
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