Organization
BLOSSOM THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA ANN FURMAN MS OTR/L (PRESIDENT)
(773) 895-3477
Entity
Organization
Contact information
Practice address
1800 W ROSCOE ST, APT 206, CHICAGO, IL 60657-1049
(773) 895-3477
(800) 686-7166
Mailing address
1800 W ROSCOE ST, APT 206, CHICAGO, IL 60657-1049
(773) 895-3477
(800) 686-7166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/11/2016
Last updated
07/23/2021
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