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Individual
MRS. VICTORIA RENEE BLOOM
Active
Individual
MRS. VICTORIA RENEE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, CWS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015786
PA
225100000X
Physical Therapist
40QA01653200
NJ
225100000X
Physical Therapist
J1-0003396
DE
225100000X
Physical Therapist
PT32897
FL
Other
Enumeration date
01/12/2011
Last updated
04/03/2018
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