JACLYN LEE BLOOM

MILWAUKIE, OR
NPI1932392867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  00000055)
Enumeration Date2007-08-23
Last Update Date2007-08-23
Business Address
Ms. JACLYN LEE BLOOM COTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
Mailing Address
Ms. JACLYN LEE BLOOM COTA
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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