Individual
MISS JENSINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1519 132ND ST SE STE A, EVERETT, WA 98208-7203
(425) 337-9556
Mailing address
1123 RUTHERFORD DR, MEDFORD, OR 97504-8930
(616) 635-3830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
62307
OR
225100000X
Physical Therapist
Primary
PT61377840
WA
Other
Enumeration date
12/27/2022
Last updated
11/21/2025
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