Born to Bloom Pediatric Therapy
NPI #1225862337 in Belleville, Illinois
Provider Information
- NPI Number
- 1225862337
- Entity Type
- Organization
- Organization Name
- Born to Bloom Pediatric Therapy
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Aug 29, 2024
- Last Updated
- Aug 29, 2024
Practice Location
- Address
- 2431 GLENMOUNT CT
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-8803
- Phone
- (618) 570-1874
Authorized Official
- Name
- CORIN L INTRIERI, OTR
- Title
- OCCUPATIONAL THERAPIST
- Phone
- (618) 570-1874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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