Individual
MRS. KIM BLOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1702 E MAIN ST # 103, MANDAN, ND 58554-3818
(701) 415-0000
Mailing address
4335 FORT LINCOLN RD, MANDAN, ND 58554-7930
(701) 471-6122
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1627
ND
Other
Enumeration date
05/22/2012
Last updated
07/08/2020
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