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Individual

CAROL BLUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7212 US 31 S, INDIANAPOLIS, IN 46227-8549
(317) 889-9822
Mailing address
189 SOUTH ST, SOUTHPORT, IN 46227-5114
(317) 791-6160
(866) 785-4924

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000535A
IN

Other

Enumeration date
12/10/2008
Last updated
07/18/2011
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