Individual
DAVID JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 HATCHER ST, ROCKY MOUNT, VA 24151-1256
(540) 483-9261
Mailing address
59 ASHPONE TAVERN RD, ROCKY MOUNT, VA 24151-6549
(609) 214-5419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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