Individual
AMANDA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29 EMMONS DR STE F10, PRINCETON, NJ 08540-5919
(609) 454-3035
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02218300
NJ
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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