Bloom Pediatric Therapy, Llc

NPI 1043641251 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1043641251
Enumeration Date 12/13/2013
Last Updated 12/13/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name EMILY BROOKE EMILY
Position SPEECH LANGUAGE PATHOLOGIST
Phone (803) 546-7140
Fax
Practice Location
169 HICKORY MEADOW RD
LEXINGTON SC, 29072-8883, US
Phone (803) 546-7140
Fax
Business Location
169 HICKORY MEADOW RD
LEXINGTON SC, 29072-8883, US
Phone (803) 546-7140
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State South Carolina
License Number 4150
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According to our database, Bloom Pediatric Therapy, Llc NPI is 1043641251, taxonomy code is 235Z00000X and license number is 4150, license state is located at South Carolina. Bloom Pediatric Therapy, Llc physically located at 169 Hickory Meadow Rd, Lexington SC, 29072-8883. NPI Number 1033115704 has the healthcare provider type.

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1043641251 NPI number is provided on an as is basis without warranty of any kind. 1043641251 is maintained by the National Plan & Provider Enumeration System. The contents of Bloom Pediatric Therapy, Llc are for informational purposes only.