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Individual

ELIZABETH A. JENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L, CHT

Contact information

Practice address
510 8TH AVE NE STE 340, ISSAQUAH, WA 98029-5449
(425) 313-3055
(425) 313-3051
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 313-3055
(425) 313-3051

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60270909
WA
225XH1200X
Hand Occupational Therapist
OT60270909
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2045365
WA
Enumeration date
01/03/2014
Last updated
07/23/2020
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