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Individual
MS. ELIZABETH BLUM
Active
Individual
MS. ELIZABETH BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000004
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59085
BCBS
VT
01
—
791462
MVP
—
05
—
OVN2961
—
VT
Enumeration date
08/21/2006
Last updated
07/08/2007
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