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Individual

AMY ELIZABETH BLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5500 KNOLL NORTH DR STE 150, COLUMBIA, MD 21045-2476
(443) 542-0062
(443) 542-0250
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
(301) 498-0009

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09307
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09307
STATE DEPARTMENT OF HEALTH
MD
Enumeration date
07/16/2021
Last updated
02/01/2023
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