Individual
MR. SCOTT JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
143 CHARLES PARK DR, COUNCIL BLUFFS, IA 51503-8411
(712) 309-0054
Mailing address
143 CHARLES PARK DR, COUNCIL BLUFFS, IA 51503-8411
(712) 309-0054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03811
IA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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