Individual
ABRIELLE JEANNE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1500 LASALLE AVE, APT 414, MINNEAPOLIS, MN 55403-3468
(920) 256-9145
Mailing address
1500 LASALLE AVE, APT 414, MINNEAPOLIS, MN 55403-3468
(920) 256-9145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104034
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104034
STATE OF MINNESOTA LICENSE
MN
Enumeration date
04/04/2011
Last updated
03/14/2012
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