Organization
ASHIRA BLOOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MARGARET ANN DEVORE-CRADDOCK DEVORE-CRADDOCK (OWNER)
(484) 714-1772
Entity
Organization
Contact information
Practice address
1119 TAYLOR DR, FOLCROFT, PA 19032-1623
(484) 714-1772
(484) 714-1772
Mailing address
1119 TAYLOR DR, FOLCROFT, PA 19032-1623
(484) 714-1772
(484) 714-1772
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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