Individual
JILL BLOMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1305 WAKARUSA DR, LAWRENCE, KS 66049-3830
(785) 842-3444
Mailing address
1305 WAKARUSA DR, LAWRENCE, KS 66049-3830
(785) 842-3444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1102221
KS
Other
Enumeration date
06/13/2005
Last updated
09/14/2007
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