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Individual
SUMMER JENSEN
Active
Individual
SUMMER JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
OT10917
FL
225X00000X
Occupational Therapist
Primary
OT10917
FL
225XP0200X
Pediatric Occupational Therapist
OT10917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888879500
—
FL
Enumeration date
02/14/2007
Last updated
03/21/2022
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