Individual
KRISTY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2655 VILLA CREEK DR STE 140, DALLAS, TX 75234-7385
(972) 800-9626
Mailing address
5800 HIDDEN CREEK LN, FRISCO, TX 75036-4642
(972) 800-9626
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1157647
TX
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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