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DR. STEVEN BLOM

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1790211530

Individual Registrant:
DR. STEVEN  BLOM 
Gender: M
Sole Proprietor

Location and contact information for practice:
511 S NEBRASKA ST  SALEM, SD 57058-8917 US
Tel: 605-425-3303  Fax: --

Contact information for business:
1125 S EBENEZER AVE APT 132 SIOUX FALLS, SD 57106-5761 US
Tel: 605-682-9999  Fax: --

Registration Information:
NPI: 1790211530
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
SD1975

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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