Individual
MELISSA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3333 S WADSWORTH BLVD, 321, LAKEWOOD, CO 80227-5122
(303) 985-4215
Mailing address
12072 W DUMBARTON DR, MORRISON, CO 80465-2005
(219) 680-9441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0011424
CO
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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