Individual
EILEEN M BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
449 RIVER AVE, WILLIAMSPORT, PA 17701-3722
(570) 320-7458
(570) 320-7457
Mailing address
449 RIVER AVE, WILLIAMSPORT, PA 17701-3722
(570) 320-7458
(570) 320-7457
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT003588L
PA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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