| NPI | 1891474458 |
|---|---|
| Doing Business As | BLOOM SPEECH THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ERIKA ANN LARSON Speech Language Pathologist 906-399-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-06-17 |