Individual
BRAEDAN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
60 MARKET ST STE 206, GAITHERSBURG, MD 20878-6559
(301) 990-9599
Mailing address
PO BOX 791217, BALTIMORE, MD 21279-1217
(301) 932-4786
(301) 932-4789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30146
MD
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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