| NPI | 1225862337 |
|---|---|
| Other Name | BORN TO BLOOM PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | CORIN L INTRIERI Occupational Therapist 618-570-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |