MR. Lonnie N Bloom, PT

NPI #1154322394 in Mount Vernon, Washington

Provider Information

NPI Number: 1154322394
Entity Type: Individual
Name: MR. Lonnie N Bloom, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 10, 2005
Last Updated: Apr 23, 2008

Practice Location

Address: 110 N LAVENTURE RD
Address 2: STE A
City: Mount Vernon
State: Washington
ZIP Code: 98273-3901
Phone: (360) 428-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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