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
- City
- Oak Forest
- State
- Illinois
- ZIP Code
- 60452-4006
- Phone
- (708) 633-3066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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