Individual
CHELSEA BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
115 MAIN ST, VISTA, CA 92084-6007
(760) 726-9660
(760) 726-8865
Mailing address
PO BOX 188, CARUTHERS, CA 93609-0188
(559) 283-1126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18827
CA
Other
Enumeration date
07/16/2018
Last updated
10/01/2024
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