Individual
BRENDA L JENSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4006 17TH ST N, ST PETERSBURG, FL 33714-4606
(727) 525-6291
Mailing address
4006 17TH ST N, ST PETERSBURG, FL 33714-4606
(727) 525-6291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
19629
FL
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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