Individual
IRA L BLONDHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
411 E IRELAND RD STE 400, SOUTH BEND, IN 46614-2681
(574) 231-8950
(574) 231-8955
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014436A
IN
Other
Enumeration date
05/02/2006
Last updated
09/27/2024
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