Individual
LESLEY LORAINE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
242 S PRINCE ST, WHITEWATER, WI 53190-1726
(262) 472-8500
Mailing address
213 ESTATE CT, ELKHORN, WI 53121-2214
(262) 903-9214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119095
WI
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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