Individual
CHLOE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 KEATING RD, BATESVILLE, MS 38606-8301
(601) 605-6777
Mailing address
599C STEED RD, RIDGELAND, MS 39157-1707
(601) 605-6777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3971
MS
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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