Individual
BRENDA LEE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
(360) 852-2637
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(360) 852-2637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60031661
WA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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