Individual
AUSTIN BLOOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S JACKSON AVE, PITTSBURGH, PA 15202-3428
(412) 330-5068
(412) 330-5844
Mailing address
100 S JACKSON AVE, PITTSBURGH, PA 15202-3428
(412) 330-5068
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025533
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103716248000
—
PA
Enumeration date
10/28/2019
Last updated
10/14/2020
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