Individual
STEPHANIE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
982 EASTERN PKWY, LOUISVILLE, KY 40217-1566
(502) 635-6397
Mailing address
2106 BARDSTOWN RD, LOUISVILLE, KY 40205-1916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134613
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100328770
—
KY
Enumeration date
07/12/2014
Last updated
06/06/2023
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