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MISS TRACY L BLUM PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1851434955
Individual Registrant:MISS TRACY L BLUM PT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
17 COASTAL OAK ALISO VIEJO, CA 92656-2126 US
Tel: 949-933-2586 Fax: 949-215-6935
Tel: 949-933-2586 Fax: 949-215-6935
Contact information for business:
17 COASTAL OAK ALISO VIEJO, CA 92656-2126 US
Tel: 949-933-2586 Fax: 949-215-6935
Tel: 949-933-2586 Fax: 949-215-6935
Registration Information:
NPI: 1851434955
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 | CA | PT14866 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
