Stephanie R Bloom, OTRCHT
Stephanie R Bloom, OTRCHT is an Occupational Therapist in Private Practice in LA Jolla, California. Qualified in 1984, 42 years ago. Practices with San Dieguito Orthopedic Medical Center P C, a 17-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 42
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
9404 Genesee Ave Ste 310LA Jolla, CA 92037
Phone: (858) 455-1195
Fax: (858) 455-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT598/9105000125 (CA) |
|---|
Record details
| NPI number | 1225099047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTRCHT |
| Sole proprietor | No |
| NPI enumerated | March 31, 2006 |
| Last updated in NPPES | January 20, 2015 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1984 (42 years in practice) |
| Group practice | San Dieguito Orthopedic Medical Center P C — 17 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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