Individual
DEBORA J JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSPT
Contact information
Practice address
965 GOETHALS, RICHLAND, WA 99352-7623
(509) 946-6144
(509) 943-9521
Mailing address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 946-6144
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00002034
WA
225100000X
Physical Therapist
Primary
PT00010693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197166
DEPT. OF LABOR & INDUSTRI
WA
01
—
0197166
LABOR & INDUSTRIES
—
05
—
8426710
—
WA
Enumeration date
10/02/2006
Last updated
03/30/2011
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