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Contact Information

BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES
3111 PONCE DE LEON
CORAL GABLES, FL33134
 Phone: 305-444-9807
 Fax: 305-444-9808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BLOSSOM DEVELOPMENTAL THERAPY ASSOCIATES · (Female)

NPI # 1184908139
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2011
Last updated 10/07/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PT17800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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