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1326050055
AMBER BLOOM
NEW YORK, NY
NPI
1326050055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 025972)
Enumeration Date
2006-08-12
Last Update Date
2008-03-17
Business Address
-- AMBER BLOOM PT
24 5TH AVE APT. 1112
NEW YORK, NY 10011-8858
Phone number: 607-759-9175
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Mailing Address
-- AMBER BLOOM PT
300 1ST AVE #7B
NEW YORK, NY 10009-1841
Phone number: 607-759-9175
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