Individual
MS. DEBRA ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8520
Mailing address
PO BOX 874, EAST QUOGUE, NY 11942-0874
(631) 653-8373
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003684-1
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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