Blooming Tree Therapy, LLC
Speech-Language Pathologist, in Brookland, AR. Organization (NPI-2).
NPI number1548639883
StatusActive
Last updated in NPPESSep 16, 2015
Details
- NPI
- 1548639883
- Entity type
- Organization (NPI-2)
- Legal business name
- Blooming Tree Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2015
- Last updated
- Sep 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
115 Cherry StBrookland, AR 72417-8839
Phone 870-336-2778 · Fax 870-336-9055
Mailing address
115 Cherry StBrookland, AR 72417-8839
Phone 870-336-2778 · Fax 870-336-9055
Authorized official
Lona M Miles
Owner/Administrator
8708191666
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Other Speech-Language Pathologist providers in Brookland, AR
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