Individual
JACQUELYN GENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7325 E PRINCESS BLVD, SCOTTSDALE, AZ 85255-5991
(480) 269-0876
Mailing address
263 S TIAGO DR, GILBERT, AZ 85233-6219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009230
AZ
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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