OrganizationActive
Blossom Therapeutics, LLC
NPI 1700354040 · Pediatric Occupational Therapist · Bend, OR
Provider details
- NPI number
- 1700354040
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Johnson, Therapist/Owner(541) 604-0548
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
408 Ne Hawthorne Ave
Bend, OR 97701-4729
Phone: (541) 617-8769
Fax: (541) 668-6772
Approximate (ZIP-level) locationGet directions
Mailing address
1757 Nw Fields St
Bend, OR 97703-7317
Registry dates
- Enumerated
- 2018-11-05
- Last updated
- 2018-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.