Individual
INEZ MARIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
620 N JEFFERSON ST, SAINT JAMES, MO 65559-1926
(573) 265-3271
(573) 265-5234
Mailing address
PO BOX 383, WARSAW, MO 65355-0383
(800) 385-3978
(660) 438-6943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2000145052
MO
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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