| NPI | 1831933761 |
|---|---|
| Former Legal Business Name | BLOOM PEDIATRIC THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA GARZAREK Speech Language Pathologist 205-919-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |