Organization
BLOOM PHYSICAL THERAPY AND WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA RENEE BLOOM MPT, CWS (OWNER)
(215) 850-6323
Entity
Organization
Contact information
Practice address
747 CYPRESS ST, YEADON, PA 19050-3504
(215) 850-6323
Mailing address
747 CYPRESS ST, YEADON, PA 19050-3504
(215) 850-6323
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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