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Individual

BETHANY BLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4636 WOODLAND AVE, PHILADELPHIA, PA 19143-3854
(215) 792-6161
Mailing address
4921 OSAGE AVE, PHILADELPHIA, PA 19143-1608
(215) 792-6161
(717) 864-4002

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS020290
PA

Other

Enumeration date
05/23/2016
Last updated
01/08/2020
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