Individual
MRS. CHARA LEIGH JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
331 HOSPITAL DR, SUITE D, LEBANON, MO 65536-9217
(417) 533-6315
(417) 533-6320
Mailing address
657 BIRCHWOOD RD, MARSHFIELD, MO 65706-2206
(417) 234-0476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003031071
MO
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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