Individual
MRS. JO ANN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 N O'CONNOR BLVD., SUITE 200, IRVING, TX 75039
(469) 420-9500
Mailing address
113 ASCOT DR, SOUTHLAKE, TX 76092-5118
(817) 310-3401
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2052623
TX
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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