Individual
MRS. LISA ANN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30624 457TH AVE, WAKONDA, SD 57073-6312
(605) 267-2648
Mailing address
30624 457TH AVE, WAKONDA, SD 57073-6312
(605) 267-2648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0171
SD
225X00000X
Occupational Therapist
1261
NE
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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