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Individual
GAIL BLOM
Active
Individual
GAIL BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103249
TX
225XH1200X
Hand Occupational Therapist
103249
TX
Other
Enumeration date
04/26/2006
Last updated
10/28/2010
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