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Individual
DR. THOMAS EDWARD BLOUNT
Active
Individual
DR. THOMAS EDWARD BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21649
MD
225100000X
Physical Therapist
PT017913
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023209970001
—
PA
Enumeration date
07/16/2006
Last updated
07/06/2015
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