Jacob Thomas Blong

NPI #1053937615 in Two Harbors, Minnesota

Provider Information

NPI Number: 1053937615
Entity Type: Individual
Name: Jacob Thomas Blong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 19, 2020
Last Updated: Jun 19, 2020

Practice Location

Address: 1451 HIGHWAY 2
City: Two Harbors
State: Minnesota
ZIP Code: 55616-4049
Phone: (218) 834-2586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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