BLUE BIRD OT, LLC

TAMPA, FL
NPI1649730045
Entity TypeOrganization
Authorized ContactBRECCA LYNN MICHAUD
Owner
501-317-8713
Organization Subpart ?No
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date2019-03-21
Last Update Date2019-03-21
Business Address
BLUE BIRD OT, LLC
501 KNIGHTS RUN AVE APT 4102
TAMPA, FL 33602-5948
Phone number: 501-317-8713
Mailing Address
BLUE BIRD OT, LLC
501 KNIGHTS RUN AVE APT 4102
TAMPA, FL 33602-5948
Phone number: 501-317-8713
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