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Individual

LEILA MARIE JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA, LMT

Contact information

Practice address
14405 WALTERS RD STE 1017, HOUSTON, TX 77014-1337
(281) 781-8283
Mailing address
1318 KALLIE HILLS LN, SPRING, TX 77386-3755
(281) 757-7111

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150058
TX
225700000X
Massage Therapist
MT127712
TX

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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