Individual
CAROLYN L BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4035 SW 10TH AVE, TOPEKA, TOPEKA, KS 66604-1916
(785) 273-7700
(785) 273-7551
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1100373
KS
Other
Enumeration date
10/26/2005
Last updated
03/28/2016
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