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Individual

MS. RAELYNN JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
(505) 836-0023
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10884539-4201
UT
225X00000X
Occupational Therapist
403238
OR
225X00000X
Occupational Therapist
OT.0007012
CO
225X00000X
Occupational Therapist
Primary
OT4538
NM

Other

Enumeration date
07/17/2018
Last updated
12/01/2021
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