Individual
JILL BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3315 ROOSEVELT RD, STE 200A, SAINT CLOUD, MN 56301-6269
(320) 420-4080
Mailing address
3315 ROOSEVELT RD, STE 200A, SAINT CLOUD, MN 56301-6269
(320) 420-4080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104935
MN
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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