Jacqueline Mira Bloom
ActiveCalifornia license 18068
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 18068
- Status
- Active (Current)
- First issued
- October 24, 2017
- Expires
- December 31, 2026
- License holder
- Jacqueline Mira Bloom
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
40 Woodruff Rd
San Anselmo, CA 94960-2533
San Anselmo, CA 94960-2533
Marin County