Individual
JENSINE HOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 WOODHILL CT, ROCKFORD, MN 55373-9105
(763) 684-8010
Mailing address
4010 WOODHILL CT, ROCKFORD, MN 55373-9105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102488
MN
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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