Individual
BENJAMIN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17525 PACIFIC HWY, SUITE C, LYNWOOD, WA 98037
(425) 409-0218
Mailing address
17120 15TH AVE NE APT 201N, SHORELINE, WA 98155-5139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.PT.70037850
WA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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