Individual
AMANDA R BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT-LANA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-8706
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105013
MN
225X00000X
Occupational Therapist
5904 - 26
WI
Other
Enumeration date
06/30/2016
Last updated
04/21/2022
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