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1144038381
THOMAS BLUM
FOND DU LAC, WI
NPI
1144038381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: OR CP049520T)
Enumeration Date
2024-12-19
Last Update Date
2025-10-22
Business Address
THOMAS BLUM
N8679 LAKESHORE DR
FOND DU LAC, WI 54937-1727
Phone number: 630-504-9605
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Mailing Address
THOMAS BLUM
N8679 LAKESHORE DR
FOND DU LAC, WI 54937-1727
Phone number:
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