MR. Charles Warren Bloom, BS,MS,CTRS

NPI #1750588208 in Oak Forest, Illinois

Provider Information

NPI Number
1750588208
Entity Type
Individual
Name
MR. Charles Warren Bloom, BS,MS,CTRS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Recreation Therapist
Credential
BS,MS,CTRS
Enumeration Date
Jun 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
15900 S CICERO AVE
ZIP Code
60452-4006
Phone
(708) 633-3066

Specialties & Taxonomy Codes

Specialty
Recreation Therapist

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