# BLOOM PHYSICAL THERAPY AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366096299
- **Authorized official:** SARAH OLEKSAK PT, DPT, PCS (PHYSICAL THERAPIST)
- **Authorized official phone:** (410) 231-3661

## Contact information

- **Practice address:** 617 FRANKLIN AVE, BERLIN, MD 21811-1358
- **Practice address phone:** (410) 231-3661
- **Mailing address:** 617 FRANKLIN AVE, BERLIN, MD 21811-1358
- **Mailing address phone:** (410) 231-3661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2019
- **Last updated:** 07/29/2019
