THEA M BLOM

GRAND RAPIDS, MI
NPI1619109295
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251H1200X Physical Therapist, Hand
(Licence: MI  5501002432)
Enumeration Date2009-08-17
Last Update Date2013-09-09
Business Address
-- THEA M BLOM PT
1111 LEFFINGWELL AVE NE SUITE 200
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Mailing Address
-- THEA M BLOM PT
1111 LEFFINGWELL AVE NE SUITE 200
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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