Organization
BLOOM PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FADI KARAJOLI (OWNER)
(313) 652-5911
Entity
Organization
Contact information
Practice address
14650 W WARREN AVE STE 300, DEARBORN, MI 48126-1782
(313) 652-5911
Mailing address
14650 W WARREN AVE STE 300, DEARBORN, MI 48126-1782
(313) 652-5911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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