Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Bloom, MSOTR/L

Individual provider Pediatric Occupational Therapist · NPI 1730672338

Jacqueline Bloom, MSOTR/L is a Pediatric Occupational Therapist in Fairfax, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1 Rock Ridge Rd
Fairfax, CA 94930-1413
Phone: (415) 342-0964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1730672338
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedJune 8, 2018
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020

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