Individual
MICHELLE BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 AYERS WAY, GLEN ALLEN, VA 23060-3874
(804) 832-5863
Mailing address
905 AYERS WAY, GLEN ALLEN, VA 23060-3874
(804) 832-5863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007301
VA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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