Blossom Pediatric Therapy, LLC

NPI #1831614908 in Lenexa, Kansas

Provider Information

NPI Number
1831614908
Entity Type
Organization
Organization Name
Blossom Pediatric Therapy, LLC
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Aug 9, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
12351 W 96TH TER STE 105
City
Lenexa
State
Kansas
ZIP Code
66215-4410
Phone
(913) 299-4855

Authorized Official

Name
JENNIFER J MINNIS, MOTR/L
Title
OCCUPATIONAL THERAPIST
Phone
(913) 299-4855

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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