THOMAS BLUM

FOND DU LAC, WI
NPI1144038381
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225100000X Physical Therapist
(Licence: OR  CP049520T)
Enumeration Date2024-12-19
Last Update Date2025-10-22
Business Address
THOMAS BLUM
N8679 LAKESHORE DR
FOND DU LAC, WI 54937-1727
Phone number: 630-504-9605
Mailing Address
THOMAS BLUM
N8679 LAKESHORE DR
FOND DU LAC, WI 54937-1727
Phone number: