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Individual

MRS. MEGAN N BLOMENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
1400 W 2ND ST, SEYMOUR, IN 47274-2224
(812) 522-2240
(812) 522-9582
Mailing address
PO BOX 747, SEYMOUR, IN 47274-0747
(812) 522-2240
(812) 522-9582

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008441A
IN

Other

Enumeration date
02/10/2006
Last updated
07/08/2007
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