Organization
BLOOM PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ELIZABETH BUMPUS DPT (OWNER)
(508) 345-6319
Entity
Organization
Contact information
Practice address
1 KENNEDY DR # U3-4, SOUTH BURLINGTON, VT 05403-7152
(802) 863-3323
Mailing address
1 KENNEDY DR # U3-4, SOUTH BURLINGTON, VT 05403-7152
(508) 345-6319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
01/25/2023
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