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Sean Blum, DPT

Physical Therapist in Fond Du Lac, WI. Individual provider (NPI-1).

NPI number1407765332
StatusActive
Last updated in NPPESSep 4, 2026

Details

NPI
1407765332
Entity type
Individual (NPI-1)
Name
Sean Blum
Credential
DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 4, 2026
Certification date
Sep 4, 2026
Last updated
Sep 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist–WIYes

Practice location

N8679 Lakeshore Dr
Fond Du Lac, WI 54937-1727

Phone 630-456-8698

Mailing address

N8679 Lakeshore Dr
Fond Du Lac, WI 54937-1727

Phone 630-456-8698

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