Individual
PATRICIA L BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9700 GREENSPRUCE AVE N, BROOKLYN PARK, MN 55443-1516
(763) 315-5919
Mailing address
4720 MINNESOTA LN N, PLYMOUTH, MN 55446-2169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7972
MN
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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