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Individual
TROY BLOOM
Active
Individual
TROY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022808
IL
225100000X
Physical Therapist
1477-24
WI
Other
Enumeration date
12/19/2016
Last updated
06/11/2019
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