License holder summary

ELLEN BETH BLOOM is a Physical Therapist licensed to practice in Pennsylvania. The address on file for ELLEN BETH BLOOM is ALEXANDRIA VA 22302. This licensed professional license is not current. The license was granted 12/24/1979 and expired on 12/31/1982.

Pennsylvania

Department of State

ELLEN BETH BLOOM
Physical Therapist
License number
PT003614L
Date granted
12/24/1979
Date expires
12/31/1982
Class
Physical Therapist
Status
Inactive
Address
ALEXANDRIA VA 22302
palicensing.org
ID 17295935
LAST UPDATED 2024-05-01 11:47:14 UTC

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