Individual
MRS. STACIE DAWN BLOOM I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10371 W SAMPLE RD, CORAL SPRINGS, FL 33065-3941
(954) 341-0090
Mailing address
672 NW 109TH TER, CORAL SPRINGS, FL 33071-7944
(954) 234-3210
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 8333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885131000
—
FL
Enumeration date
08/28/2007
Last updated
08/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us