| NPI | 1033568282 |
|---|---|
| Doing Business As | BLOOMING POTENTIAL |
| Entity Type | Organization |
| Authorized Contact | TIFFANY N RIGAL Owner 318-381-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6477) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-147) |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-03-11 |