Individual
SAMANTHA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2835 W SAINT GERMAIN ST STE 300, SAINT CLOUD, MN 56301-6281
(320) 259-4151
Mailing address
2835 W SAINT GERMAIN ST STE 300, SAINT CLOUD, MN 56301-6281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104961
MN
Other
Enumeration date
02/21/2018
Last updated
12/10/2018
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