Individual
MRS. EMILY JANE BLOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1712 N LELAND DR, HUNTINGBURG, IN 47542-9348
(812) 683-4090
(812) 683-2930
Mailing address
1712 N LELAND DR, HUNTINGBURG, IN 47542-9348
(812) 683-4090
(812) 683-2930
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003725A
IN
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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