Individual
JAYDEN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5855 STATE BRIDGE RD STE 200, JOHNS CREEK, GA 30097-2666
(770) 225-0732
(770) 470-4877
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017128
GA
Other
Enumeration date
06/19/2024
Last updated
06/25/2024
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