Individual
ERIC BELLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-019688
IL
2251S0007X
Sports Physical Therapist
2011019590
MO
Other
Enumeration date
06/28/2011
Last updated
01/29/2013
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