| 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 |
|---|---|
| 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 | |
Zahria Marie White, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 N Pine St, Deridder, LA 70634 Phone: 337-202-0568 |