Individual
AMANDA MARIE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5755 38TH ST, VERO BEACH, FL 32966-1805
(772) 404-9353
Mailing address
5755 38TH ST, VERO BEACH, FL 32966-1805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28793
FL
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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