Individual
MRS. LAURA COHEN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
11720 SW 122ND PL, MIAMI, FL 33186-5033
(305) 283-8860
Mailing address
11720 SW 122ND PL, MIAMI, FL 33186-5033
(305) 283-8860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889797200
—
FL
Enumeration date
12/15/2008
Last updated
03/18/2009
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