Individual
BERNICE K BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11490 ALPHARETTA HWY, SUITE 200, ROSWELL, GA 30076-3811
(770) 740-8592
(770) 752-9478
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2570
GA
Other
Enumeration date
12/01/2006
Last updated
01/26/2011
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