Individual
EMILY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 W 5TH ST, APT 2, BOSTON, MA 02127-2615
(774) 261-0313
Mailing address
259 W 5TH ST, APT 2, BOSTON, MA 02127-2615
(774) 261-0313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20620
MA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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