Individual
DR. DALE ALTON JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSC PT
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 808-2249
Mailing address
10499 HUNTER HTS, SCHERTZ, TX 78154-6230
(760) 288-6484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2305210793
VA
174400000X
Specialist
3433
CO
2251X0800X
Orthopedic Physical Therapist
Primary
1368947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1368947
LICENSE
TX
01
—
2305210793
LICENSE
VA
01
—
3433
LICENSE
CO
Enumeration date
02/17/2006
Last updated
11/09/2022
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