Individual
MRS. JENNIFER MARIE BOELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 BARRIE RD, EDINA, MN 55435-2363
(952) 922-5019
Mailing address
PO BOX 27373, GOLDEN VALLEY, MN 55427-0373
(612) 710-3411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3179
MN
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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