ELLEN B BLOOM

MANSFIELD, OH
NPI1114418902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OH  3727)
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
ELLEN B BLOOM
50 BLYMYER AVE
MANSFIELD, OH 44903-2343
Phone number: 419-774-5100
Mailing Address
ELLEN B BLOOM
8751 WHIPPOORWILL RD
DIAMOND, OH 44412-9708
Phone number: 330-414-0382