| Doctor Name: | MRS. SUSAN P BLOOM |
| NPI Number: | 1861544819 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT SCS |
| License Number: | 7494 |
| Business Practice Address: | 633 Highland Ave Needham, MA - 02494 |
| Business Phone Number: | 7814441614 |
| Business Fax Number: | 7814449260 |
| Mailing Address: | 633 Highland Ave, NEEDHAM |
| State: | MA |
| Postal Code: | 02494 |
| Phone Number: | 7814441614 |
| Fax Number: | 7814449260 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 12/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 7494 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |