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MISS TRACY L BLUM PT

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

Registrant NPI Number: 1851434955

Individual Registrant:
MISS TRACY L BLUM PT
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

Contact information for business:
17 COASTAL OAK  ALISO VIEJO, CA 92656-2126 US
Tel: 949-933-2586  Fax: 949-215-6935

Registration Information:
NPI: 1851434955
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT14866

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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