Bloom Pediatric Therapy, LLC
NPI #1043641251 in Lexington, South Carolina
Provider Information
- NPI Number
- 1043641251
- Entity Type
- Organization
- Organization Name
- Bloom Pediatric Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 13, 2013
- Last Updated
- Dec 13, 2013
Practice Location
- Address
- 169 HICKORY MEADOW RD
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29072-8883
- Phone
- (803) 546-7140
Authorized Official
- Name
- MRS. EMILY BROOKE BUNGER, MCD, CCC-SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (803) 546-7140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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