STACIE DAWN BLOOM

CORAL SPRINGS, FL
NPI1548454168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: FL  OT 8333)
Enumeration Date2007-08-28
Last Update Date2007-08-28
Business Address
Mrs. STACIE DAWN BLOOM OTR
10371 W SAMPLE RD
CORAL SPRINGS, FL 33065-3941
Phone number: 954-341-0090
Mailing Address
Mrs. STACIE DAWN BLOOM OTR
672 NW 109TH TER
CORAL SPRINGS, FL 33071-7944
Phone number: 954-234-3210
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