Bloom Therapy Center | |
1103 Walnut St, Deridder, LA 70634-2731 | |
(337) 202-0568 | |
Not Available |
Full Name | Bloom Therapy Center |
---|---|
Type | Facility |
Speciality | Occupational Therapist - Pediatrics |
Location | 1103 Walnut St, Deridder, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467268490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Bloom Therapy Center 1103 Walnut St, Deridder, LA 70634-2731 Ph: (337) 202-0568 | Bloom Therapy Center 1103 Walnut St, Deridder, LA 70634-2731 Ph: (337) 202-0568 |
Michelle Ann Clark, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 457 C Dees Rd, Deridder, LA 70634 Phone: 404-433-1208 | |
Mrs. Alisha Brister, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Scallon Rd, Deridder, LA 70634 Phone: 919-696-0112 |