Troy Bloom, DPT

NPI #1316481807 in Third Lake, Illinois

Provider Information

NPI Number: 1316481807
Entity Type: Individual
Name: Troy Bloom, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 19, 2016
Last Updated: Jun 11, 2019

Practice Location

Address: 34572 N US HIGHWAY 45
City: Third Lake
State: Illinois
ZIP Code: 60030-4037
Phone: (847) 548-3695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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