ELIZABETH AV BLOOM

MADISON, WI
NPI1598014334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  12154)
Enumeration Date2012-09-07
Last Update Date2012-09-07
Business Address
-- ELIZABETH AV BLOOM DPT
621 SCIENCE DR
MADISON, WI 53711-1074
Phone number: 608-265-3207
Mailing Address
-- ELIZABETH AV BLOOM DPT
621 SCIENCE DR
MADISON, WI 53711-1074
Phone number: 608-265-3207