Individual
JENNIFER BLEAKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2250 GARFIELD ST NE, MINNEAPOLIS, MN 55418-3927
(612) 668-1530
Mailing address
4624 43RD AVE S, MINNEAPOLIS, MN 55406-4019
(612) 668-0000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102216
MN
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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