Individual
MR. ALLEN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
600 MORNINGSIDE ST, IDA GROVE, IA 51445-1637
(712) 364-3327
Mailing address
600 MORNINGSIDE ST, IDA GROVE, IA 51445-1637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
087428
IA
Other
Enumeration date
07/24/2017
Last updated
04/05/2019
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