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1912075730
BERNICE K BLOOM
ROSWELL, GA
NPI
1912075730
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Former Name
BERNICE KATZEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT2570)
Enumeration Date
2006-12-01
Last Update Date
2011-01-26
Business Address
-- BERNICE K BLOOM PT
11490 ALPHARETTA HWY SUITE 200
ROSWELL, GA 30076-3811
Phone number: 770-740-8592
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Mailing Address
-- BERNICE K BLOOM PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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