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Carol B. Bloom, PT

Physical Therapist in La Crosse, WI. Individual provider (NPI-1).

NPI number1366610099
StatusActive
Last updated in NPPESFeb 15, 2008

Details

NPI
1366610099
Entity type
Individual (NPI-1)
Name
Ms. Carol B. Bloom
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 15, 2008
Last updated
Feb 15, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1231-024WIYes

Other names

  • Carol Ann Bloom (Other Name)

Practice location

2214 Main Street
La Crosse, WI 54601-3918

Phone 608-784-6970 · Fax 608-784-6970

Mailing address

2214 Main St
La Crosse, WI 54601-3918

Phone 608-784-6970 · Fax 608-784-6970

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