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Contact Information

BENJAMIN BLOOM
17525 PACIFIC HWY
SUITE C
LYNWOOD, WA98037
 Phone: 425-409-0218
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BENJAMIN BLOOM · (Male)

NPI # 1093676157
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2025
Last updated 11/19/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • WA License # PT.PT.70037850
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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