Organization
CHILDRENS ORTHOGENIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PHILLIP BLOOM PHD (MANAGING PARTNER)
(248) 649-9202
Entity
Organization
Contact information
Practice address
2855 COOLIDGE HIGHWAY, SUITE 101, TROY, MI 48084
(248) 649-9202
(248) 649-8922
Mailing address
2855 COOLIDGE HIGHWAY, SUITE 101, TROY, MI 48084
(248) 649-9202
(248) 649-8922
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006833
MI
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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