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A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
2251P0200X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1184908139 |
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| LBN Legal business name | BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES | ||||
| Authorized official | JENNIFER BURCH - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/07/2011 | ||||
| Last updated | 10/07/2011 - About 15 years ago | ||||
| Identifiers |
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BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES