Individual
MR. ROBERT H. BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2607 WASHINGTON ST, PELLA, IA 50219-7924
(641) 621-1401
(641) 628-7308
Mailing address
2279 DAKOTA DR, PELLA, IA 50219-7623
(641) 628-3471
(641) 628-7308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00272
IA
Other
Enumeration date
03/14/2007
Last updated
09/25/2007
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