Blom, Thea M

Blom, Thea M is an sole proprietor health care provider with primary practice located at 1111 Leffingwell Ave Ne Suite 200, Grand Rapids MI 49525-6406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Blom, Thea M can be contacted via phone (616) 459-7101.

Contact Information

Primary practice address
1111 Leffingwell Ave Ne Suite 200 Grand Rapids MI 49525-6406
Phone: (616) 459-7101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 5501002432 Michigan

Profile Details

NPI number 1619109295
LBN Legal business name Blom, Thea M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2009
Last updated Sep 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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