Individual
SHANA BLOOMSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 505-4268
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6072
(207) 505-4268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PA3453
ME
Other
Enumeration date
07/21/2008
Last updated
03/08/2019
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