Individual
MRS. STACY JILL JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L CHT
Contact information
Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-2300
(701) 780-2599
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-6000
(701) 780-5772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
283
ND
Other
Enumeration date
06/01/2007
Last updated
02/16/2018
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