Individual
MISS VICTORIA BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
151 CHRISTIAN HILL RD, GREAT BARRINGTON, MA 01230-1199
(413) 528-7121
(413) 528-2576
Mailing address
151 CHRISTIAN HILL RD, GREAT BARRINGTON, MA 01230-1199
(413) 528-7121
(413) 528-2576
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1840
CT
224Z00000X
Occupational Therapy Assistant
Primary
4346
MA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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