Ellen B Bloom

NPI #1114418902 in Mansfield, Ohio

Provider Information

NPI Number: 1114418902
Entity Type: Individual
Name: Ellen B Bloom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: May 29, 2018
Last Updated: May 29, 2018

Practice Location

Address: 50 BLYMYER AVE
City: Mansfield
State: Ohio
ZIP Code: 44903-2343
Phone: (419) 774-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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