Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luna L Blossom

Individual provider Occupational Therapist · NPI 1689166621

Luna L Blossom is an Occupational Therapist in Bronx, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

1560 Mayflower Ave
Bronx, NY 10461-5400
Phone: (718) 948-1900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1113 Legion Way Se, Olympia, WA 98501-1697 — (360) 596-7530

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0225811 (NY)

Record details

NPI number1689166621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESJuly 24, 2018
Mailing address620 W 171st St Apt 2k, New York, NY 10032-3108

Other providers in Bronx