Provider Demographics
NPI:1275835522
Name:OYER-BLUM, NANCY J
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:OYER-BLUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 FLINTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1883
Mailing Address - Country:US
Mailing Address - Phone:719-559-7328
Mailing Address - Fax:719-264-0227
Practice Address - Street 1:5820 FLINTRIDGE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1883
Practice Address - Country:US
Practice Address - Phone:719-559-7328
Practice Address - Fax:719-264-0227
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2339225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist