Individual
DR. HOLLY RENAE BLOOMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1637
(858) 502-1350
Mailing address
3828 CAMINITO LITORAL # 201, SAN DIEGO, CA 92107-1902
(619) 708-8262
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
28600
CA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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