Individual
DANIELLE C BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 BROAD ST STE 1, BLOOMFIELD, NJ 07003-2884
(973) 429-0890
Mailing address
614 LENOX AVE, WESTFIELD, NJ 07090-2161
(917) 318-1075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01094000
NJ
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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