Blom, Gail
Blom, Gail is an individual health care provider with primary practice located at 1101 Ohio Dr Ste 105, Plano TX 75093. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Blom, Gail can be contacted via phone (972) 599-9594.Contact Information
Primary practice address
1101 Ohio Dr Ste 105
Plano TX 75093
Phone: (972) 599-9594
Fax: (972) 599-9364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 103249 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 103249 | Texas |
Profile Details
| NPI number | 1023074036 |
|---|---|
| LBN Legal business name | Blom, Gail |
| Credentials | MA OTR CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 28th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023074036 | NPPES |
| Texas | Other | 4724960001 | PALMETTO GBA DMERC |
| Texas | Other | 8T0248 | PALMETTO GBA DMERC |
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