STEPHANIE R BLOOM OT

SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C

Dr STEPHANIE R BLOOM OT is a female medical professional, specializing in Occupational Therapy. She graduated in 1984.

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SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C

332 SANTA FE DR
ENCINITAS
CA
920245143

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STEPHANIE R BLOOM OT Information

Npi 1225099047
Pac Id 2769375435
Professional Enrollment Id I20040205000969
Last Name BLOOM
First Name STEPHANIE
Middle Name R
Suffix
Gender F
Credential OT
Medical School Name OTHER
Graduation Year 1984
Primary Specialty OCCUPATIONAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C
Group Practice Pac Id 0143201442
Number Of Group Practice Members 18
Line 1 Street Address 332 SANTA FE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City ENCINITAS
State CA
Zip Code 920245143
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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