Individual
MR. KERRY BRADFORD BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4500 S LANCASTER RD, VA: PM&R: TCU, DALLAS, TX 75216-7167
(214) 857-1725
Mailing address
4500 S LANCASTER RD, VA: PM&R: TCU, DALLAS, TX 75216-7167
(214) 857-1725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112287
TX
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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