EDWARD PATRICK BLOOM

LIVONIA, MI
NPI1700556420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence:   5202008088)
Enumeration Date2021-09-14
Last Update Date2021-09-14
Business Address
EDWARD PATRICK BLOOM COTA
28910 PLYMOUTH RD
LIVONIA, MI 48150-2337
Phone number: 734-425-4814
Mailing Address
EDWARD PATRICK BLOOM COTA
43624 APPOMATTOX CT
CANTON, MI 48188-1707
Phone number: 734-634-1273
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