Individual
BENJAMIN ALAN BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600 MARKET ST STE 150, CHANHASSEN, MN 55317
(952) 491-4700
(952) 491-4701
Mailing address
7551 9TH ST N STE 100, OAKDALE, MN 55128-6628
(651) 748-4338
(651) 748-2892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12658
WI
225100000X
Physical Therapist
Primary
9633
MN
Other
Enumeration date
05/19/2014
Last updated
04/17/2019
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