Individual
DR. JENNIFER MARIE BLOEMENDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10146
MN
225100000X
Physical Therapist
11987-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10146
PHYSICAL THERAPY LICENSE
MN
01
—
11987-24
PHYSICAL THERAPY LICENSE
WI
Enumeration date
04/03/2013
Last updated
04/03/2020
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