Individual
ERIC JAMES BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3035 S ELLSWORTH RD, BUILDING 4, SUITE 128, MESA, AZ 85212-2160
(480) 357-6500
(480) 357-6515
Mailing address
3035 S ELLSWORTH RD, BUILDING 4, SUITE 128, MESA, AZ 85212-2160
(480) 357-6500
(480) 357-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8969
AZ
Other
Enumeration date
11/09/2010
Last updated
03/04/2015
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