Bloom and Grow Early Intervention LLC

NPI #1164180097 in Kennett Square, Pennsylvania

Provider Information

NPI Number: 1164180097
Entity Type: Organization
Organization Name: Bloom and Grow Early Intervention LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 8, 2021
Last Updated: Dec 8, 2021

Practice Location

Address: 148 W STATE ST STE 103
City: Kennett Square
State: Pennsylvania
ZIP Code: 19348-3055
Phone: (484) 432-1614

Authorized Official

Name: CINDY DUCKWORTH
Title: MEMBER
Phone: (484) 432-1614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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