Individual
KATHRYN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1005 N HICKORY RD, SOUTH BEND, IN 46615-3723
(574) 233-5754
Mailing address
15651 ROBIN LN, MISHAWAKA, IN 46545-1564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010593A
IN
Other
Enumeration date
08/11/2011
Last updated
01/04/2013
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