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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOBUS BLOM

Active

Physical Therapy Assistant · MANCHESTER, ME

Registration Details

NPI Number
1114301843
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2015 (10.773923219286 yrs)
Last Updated
Jul 13, 2015
License
PT2764 (ME)

Practice Information

Address
40 GRANITE HILL RD
MANCHESTER, ME, 043513513
Browse ME providers · Browse ZIP 04351
Phone
2076267222
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MANCHESTER, ME

Name Credential NPI
DAVID JAMES PICKLE MSPT, DPT 1770752438
WENDY R ALLARD PT 1225271521
ROBIN PAGE DUFOUR PT 1427353069
KARIN THORNTON 1316321904
SUSAN BURNETT 1851776934
ANNE JENKINS 1285309161
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.