Individual
MR. PATRICK JAMES BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
410 ELM TREE LN, VERNON HILLS, IL 60061-1806
(847) 989-5293
Mailing address
410 ELM TREE LN, VERNON HILLS, IL 60061-1806
(847) 989-5293
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-001685
IL
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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