LUNA L BLOSSOM

BRONX, NY
NPI1689166621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  0225811)
Enumeration Date2018-06-05
Last Update Date2018-07-24
Business Address
LUNA L BLOSSOM
1560 MAYFLOWER AVE
BRONX, NY 10461-5400
Phone number: 718-948-1900
Mailing Address
LUNA L BLOSSOM
620 W 171ST ST APT 2K
NEW YORK, NY 10032-3108
Phone number: 360-688-9850
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