Bloom Physical Therapy, LLC

NPI #1003359225 in Mesa, Arizona

Provider Information

NPI Number: 1003359225
Entity Type: Organization
Organization Name: Bloom Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 19, 2016
Last Updated: Nov 19, 2016

Practice Location

Address: 3035 S ELLSWORTH RD STE 128
City: Mesa
State: Arizona
ZIP Code: 85212-2161
Phone: (480) 357-6500

Authorized Official

Name: ERIC BLOOM
Title: OWNER
Phone: (808) 224-5802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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