Individual
MS. TINA MARIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9 HAYWOOD AVE, RUTLAND, VT 05701-4832
(802) 747-6433
Mailing address
215 PARKER RD, EAST WALLINGFORD, VT 05742-9690
(802) 259-2192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041-0000318
VT
Other
Enumeration date
07/15/2007
Last updated
07/15/2007
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