Organization
BLOOM CHIROPRACTIC AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY RAE BLOOM DC (OWNER/PROVIDER)
(814) 791-0213
Entity
Organization
Contact information
Practice address
407 THOMPSON ST, CURWENSVILLE, PA 16833-1115
(814) 791-0213
Mailing address
407 THOMPSON ST, CURWENSVILLE, PA 16833-1115
(814) 791-0213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011292
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033637920001
—
PA
Enumeration date
02/24/2018
Last updated
02/24/2018
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