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Individual

MR. ADAM BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16650 EAST PALISADES BLVD #109, FOUNTAIN HILLS, AZ 85268
(480) 404-6775
(480) 427-3901
Mailing address
9842 EAST SAN SALVADOR DRIVE, SCOTTSDALE, AZ 85258
(480) 404-6775
(480) 427-3901

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014578
AZ

Other

Enumeration date
11/18/2022
Last updated
11/18/2022
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