| NPI | 1114305489 |
|---|---|
| Former Name | JANET BLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13308197-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1126795) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2025-10-07 |