Individual
EMMA RILEY BLOMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
65 PORTLAND RD STE 5, KENNEBUNK, ME 04043-6742
(207) 985-6181
Mailing address
2 MAIN ST UNIT 15-318, BIDDEFORD, ME 04005-3886
(413) 404-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6914
ME
Other
Enumeration date
08/02/2024
Last updated
08/07/2024
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