Individual
JENNIFER BLOSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35105 KENAI SPUR HWY, SOLDOTNA, AK 99669-7658
(907) 260-7444
(907) 260-7400
Mailing address
35105 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7658
(907) 260-7444
(907) 260-7400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
107413
AK
225X00000X
Occupational Therapist
Primary
OT61180260
WA
Other
Enumeration date
02/15/2016
Last updated
09/20/2022
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