Individual
JOAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
86 E PROSPECT ST, WALDWICK, NJ 07463-2216
(214) 548-8639
Mailing address
86 E PROSPECT ST, WALDWICK, NJ 07463-2216
(214) 548-8639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00109300
NJ
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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