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Contact Information

EDWARD P BLOOM, COTA
28910 PLYMOUTH RD
LIVONIA, MI48150-2337
 Phone: 734-425-4814
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for EDWARD P BLOOM · (Male)

NPI # 1700556420
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 09/14/2021
Last updated 09/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • License # 5202008088
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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