Provider Demographics
NPI:1558956078
Name:BREATHE AND BLOSSOM LLC
Entity Type:Organization
Organization Name:BREATHE AND BLOSSOM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:APICELLA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:919-452-6828
Mailing Address - Street 1:5468 GEDDES WAY
Mailing Address - Street 2:
Mailing Address - City:PIPERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18947-1162
Mailing Address - Country:US
Mailing Address - Phone:919-452-6828
Mailing Address - Fax:
Practice Address - Street 1:5468 GEDDES WAY
Practice Address - Street 2:
Practice Address - City:PIPERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18947-1162
Practice Address - Country:US
Practice Address - Phone:919-452-6828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty