Individual
JAMIE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
249 LEXINGTON ST, WALTHAM, MA 02452-4621
(617) 730-5337
Mailing address
48 BRIGHTON AVE APT 6, ALLSTON, MA 02134-2336
(661) 212-3163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23168
MA
Other
Enumeration date
08/04/2017
Last updated
03/17/2018
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