Individual
MRS. JAMIE OCKNER BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
110 CEDAR ST, WELLESLEY, MA 02481-3527
(781) 237-1769
(781) 239-9965
Mailing address
110 CEDAR ST, WELLESLEY, MA 02481-3527
(781) 237-1769
(781) 239-9965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2020024674
MO
225100000X
Physical Therapist
Primary
PTL26963
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480087488
—
MO
Enumeration date
07/13/2020
Last updated
12/17/2024
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