Individual
DR. JENNIFER ANN BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16151 MEREDITH CT, LINDEN, MI 48451-9095
(810) 354-5915
Mailing address
16151 MEREDITH CT, LINDEN, MI 48451-9095
(810) 354-5915
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
009534
OH
2251G0304X
Geriatric Physical Therapist
Primary
5501011124
MI
Other
Enumeration date
09/23/2013
Last updated
02/28/2017
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