Individual
MS. ADRIA JAY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
70 PARK TER E APT 5D, NEW YORK, NY 10034-1416
(917) 960-9077
Mailing address
70 PARK TER E APT 5D, NEW YORK, NY 10034-1416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016228
NY
225X00000X
Occupational Therapist
46TR00530700
NJ
Other
Enumeration date
09/20/2011
Last updated
05/16/2025
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