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Michael Blomstrom, PTA
NPI 1104944495 · on the registry since 2007
Practice
- Address
- 2111 Riverwalk Dr
Moore, OK 73160 - Phone
- (405) 793-7885
- Organisation at this address
- Integris Health
Integris Jim Thorpe Rehabilitation MooreInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma