BLOOM CENTER FOR PEDIATRIC THERAPY, LLC
Organization (NPI-2)
Active
Speech-Language Pathologist,
Provider Information
- NPI Number
1215397666- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7677 W PORTNEUF RD, POCATELLO, ID, 832047336
- Phone
- (208) 604-6260
Specialties & Taxonomies
Physical Therapist
Occupational Therapist
Speech-Language Pathologist,
Primary License: ID #SLP-2171