Individual
MS. ELIZABETH BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
9150 HUEBNER RD, SUITE 340, SAN ANTONIO, TX 78240-1558
(210) 481-7730
(210) 481-7731
Mailing address
9150 HUEBNER RD, SUITE 340, SAN ANTONIO, TX 78240-1558
(210) 481-7730
(210) 481-7731
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1157200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4258
BCBS
TX
Enumeration date
12/11/2006
Last updated
09/10/2007
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