Blooming Connections Pediatric Therapy LLC
Speech-Language Pathologist, in Blaine, MN. Organization (NPI-2).
NPI number1306602248
StatusActive
Last updated in NPPESFeb 27, 2024
Details
- NPI
- 1306602248
- Entity type
- Organization (NPI-2)
- Legal business name
- Blooming Connections Pediatric Therapy LLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2024
- Certification date
- Feb 27, 2024
- Last updated
- Feb 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
3030 92nd Ave NeBlaine, MN 55449-5624
Phone 651-269-5055
Mailing address
3030 92nd Ave NeBlaine, MN 55449-5624
Authorized official
Tracy Brynelsen
Speech Language Pathologist
6512695055
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All 16 Speech-Language Pathologist providers in Blaine · All 1,032 providers in Blaine
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