Individual
MELISSA SHEA BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
515 FAIRMOUNT AVE STE 530, TOWSON, MD 21286-5466
(410) 296-0680
Mailing address
617 W 40TH ST, BALTIMORE, MD 21211-2219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27092
MD
Other
Enumeration date
04/17/2007
Last updated
10/23/2025
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