| NPI | 1164624359 |
|---|---|
| Former Name | STEPHANIE ANN BLOOMFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009875A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1172308) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-12-19 |