Individual
MRS. ALI RAE BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
34 BARRINGTON DR, PALM COAST, FL 32137-8861
(903) 905-0412
Mailing address
4062 VICTORIA LAKES DR S, JACKSONVILLE, FL 32226-0711
(386) 276-0070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21291
FL
225XP0200X
Pediatric Occupational Therapist
21291
FL
Other
Enumeration date
09/06/2021
Last updated
04/19/2024
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