Individual
SOPHIE BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3750 DACORO LN STE 130, CASTLE ROCK, CO 80109-2508
(303) 870-8242
Mailing address
8256 W CLIFTON AVE, LITTLETON, CO 80128-5586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014839
CO
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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