Individual
MIKAELA PAIGE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
617 SANTA FE TRAIL, AULT, CO 80610
(970) 324-0899
Mailing address
617 SANTA FE TRAIL, AULT, CO 80610
(970) 324-0899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-8583
MT
Other
Enumeration date
11/17/2021
Last updated
03/23/2023
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