Individual
MRS. MARY KAY HALING JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3625 289TH AVE NE, REDMOND, WA 98053-9167
(425) 289-6863
Mailing address
3625 289TH AVE NE, REDMOND, WA 98053-9167
(425) 289-6863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00002141
WA
Other
Enumeration date
04/06/2010
Last updated
10/09/2012
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