Individual
JANAE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 IVORY ST, OAKLEY, KS 67748-2107
(785) 672-0935
Mailing address
801 IVORY ST, OAKLEY, KS 67748-2107
(785) 672-0935
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402774
KS
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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