Individual
MRS. DUFFY BLOEMENDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4901 BRYANT IRVIN RD N STE 200, FORT WORTH, TX 76107-7673
(817) 738-9866
(817) 817-3157
Mailing address
3920 HAMILTON AVE, FORT WORTH, TX 76107-1710
(214) 587-5468
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
109311
TX
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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