Individual
JENNIFER ANN TOULOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8120 PENN AVE S, BLOOMINGTON, MN 55431-1358
(952) 495-6000
Mailing address
505 WARREN AVE, SPRING VALLEY, MN 55975-1131
(507) 269-1769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104552
MN
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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