Bloom, Rebecca

Bloom, Rebecca is an individual health care provider with primary practice located at 100 Spring Harbor Dr , Columbus GA 31904-4619. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bloom, Rebecca can be contacted via phone (706) 641-0424.

Contact Information

Primary practice address
100 Spring Harbor Dr Columbus GA 31904-4619
Phone: (706) 641-0424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1972084127
LBN Legal business name Bloom, Rebecca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2018
Last updated Mar 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972084127 NPPES
Ohio MEDICAID 1972084127

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