Individual
JILLIAN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3002 AVENUE Q, HONDO, TX 78861-3422
(830) 426-3056
Mailing address
582 COUNTY ROAD 367, HONDO, TX 78861-6564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118116
TX
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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