Individual
HOLLY PAULETTE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12041 BOURNEFIELD WAY STE B, SILVER SPRING, MD 20904-7908
(301) 592-4430
Mailing address
12041 BOURNEFIELD WAY STE B, SILVER SPRING, MD 20904-7908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02105
MD
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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