Individual
BRYANNA R BLOCHOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D-PT
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3655
(920) 433-3539
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15405-24
WI
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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