| Bloom Pediatric Therapy Llc | |
|
14557 Highway 19 Ste C Griffin GA 30224-9582 | |
| (678) 967-1924 | |
| Not Available |
| Full Name | Bloom Pediatric Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14557 Highway 19 Ste C, Griffin, Georgia |
| Authorized Official Name and Position | Kelli Hurd (PRESIDENT) |
| Authorized Official Contact | 6789671924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Pediatric Therapy Llc 136 Main St Milner GA 30257-3844 Ph: (678) 967-1924 | Bloom Pediatric Therapy Llc 14557 Highway 19 Ste C Griffin GA 30224-9582 Ph: (678) 967-1924 |
| NPI Number | 1619674124 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 03/26/2026 |
| Certification Date | 03/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619674124 | NPI | - | NPPES |
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