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DR. STEVEN BLOM
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1790211530
Individual Registrant:DR. STEVEN BLOM
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
511 S NEBRASKA ST SALEM, SD 57058-8917 US
Tel: 605-425-3303 Fax: --
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: --
Tel: 605-682-9999 Fax: --
Registration Information:
NPI: 1790211530
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | SD | 1975 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
