Jennifer Ann Blaser, PTA
Physical Therapy Assistant in Rockford, IL. Individual provider (NPI-1).
NPI number1992181796
StatusActive
Last updated in NPPESAug 4, 2015
Details
- NPI
- 1992181796
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Ann Blaser
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2015
- Last updated
- Aug 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160006093 | IL | Yes |
Practice location
4401 N Main StRockford, IL 61103-1277
Phone 779-771-6866
Mailing address
W7518 Melvin RdBrowntown, WI 53522-9709
Phone 608-214-6548
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Other Physical Therapy Assistant providers in Rockford, IL
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All 49 Physical Therapy Assistant providers in Rockford · All 5,035 providers in Rockford
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