Jacqueline Bloom, MS OTR/L - Occupational Therapist in Fairfax, CA

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Jacqueline Bloom, MS OTR/L is a Occupational Therapist - Pediatrics based in Fairfax, California. Jacqueline Bloom is licensed to practice in * (Not Available) (license number ) and her current practice location is 1 Rock Ridge Rd, Fairfax, California. She can be reached at her office (for appointments etc.) via phone at (415) 342-0964.

NPI number for Jacqueline Bloom is 1730672338 and her current mailing address is 1 Rock Ridge Rd, Fairfax, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730672338.

Contact Information

Jacqueline Bloom, MS OTR/L
1 Rock Ridge Rd,
Fairfax, CA 94930-1413
(415) 342-0964
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacqueline Bloom
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location1 Rock Ridge Rd, Fairfax, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730672338
  • Provider Enumeration Date: 06/08/2018
  • Last Update Date: 12/16/2020

Medical Identifiers

Medical identifiers for Jacqueline Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730672338NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Bloom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Bloom, MS OTR/L
1 Rock Ridge Rd,
Fairfax, CA 94930-1413

Ph: (415) 342-0964		Jacqueline Bloom, MS OTR/L
1 Rock Ridge Rd,
Fairfax, CA 94930-1413

Ph: (415) 342-0964

Reviews and Comments


Occupational Therapist in Fairfax, CA

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Phone: 415-460-5159    
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Phone: 415-713-0894    
Tonya Zimring, MS, OTR
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Practice Location: 12 Madrone Rd, Fairfax, CA 94930
Phone: 415-944-7118    

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