| NPI | 1861220246 |
|---|---|
| Doing Business As | BLOOM THERAPY SERVICES, PLLC |
| Entity Type | Organization |
| Authorized Contact | GRACE J VAN-NIEL Provider/Owner 984-332-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |