NPI | 1679287254 |
---|---|
Doing Business As | BORN TO BLOOM LLC |
Entity Type | Organization |
Authorized Contact | QUANEKA HOSKIN-CHASE Occupational Therapist 678-480-1149 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Enumeration Date | 2023-01-09 |
Last Update Date | 2023-01-09 |