NPI 1104396118

Bloom Professional Services LLC

Organisation Physical Therapist Dearborn, MI

Practice location

Address: 14650 W Warren Ave STE 300, Dearborn, MI 48126-1782
Phone: (313) 652-5911

Authorised official

Name: Fadi Karajoli
Title: Owner
Phone: (313) 652-5911

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1104396118
Entity type: Organization
NPI issued: 3 Dec 2018
Record last updated: 3 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.