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Organization

BLOOM PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC BLOOM (OWNER)
(808) 224-5802
Entity
Organization

Contact information

Practice address
3035 S ELLSWORTH RD STE 128, MESA, AZ 85212-2161
(480) 357-6500
Mailing address
3035 S ELLSWORTH RD STE 128, MESA, AZ 85212-2161

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8969
AZ

Other

Enumeration date
11/19/2016
Last updated
11/19/2016
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