Individual
AMBER BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
24 5TH AVE, APT. 1112, NEW YORK, NY 10011-8858
(607) 759-9175
Mailing address
300 1ST AVE, #7B, NEW YORK, NY 10009-1841
(607) 759-9175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025972
NY
Other
Enumeration date
08/12/2006
Last updated
03/17/2008
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