Individual
DEBORAH BLOMGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2900 STONERIDGE DR, PLEASANTON, CA 94588-8310
(925) 201-4050
Mailing address
245 TOURMALINE AVE, LIVERMORE, CA 94550-9578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16799
CA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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