Jacobus Blom

NPI #1114301843 in Manchester, Maine

Provider Information

NPI Number
1114301843
Entity Type
Individual
Name
Jacobus Blom
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Jul 13, 2015
Last Updated
Jul 13, 2015

Practice Location

Address
40 GRANITE HILL RD
State
Maine
ZIP Code
04351-3513
Phone
(207) 626-7222

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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