Individual
MRS. ELIZABETH ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1675 N FREEDOM BLVD, BUILDING 10B, PROVO, UT 84604-2540
(801) 885-7624
Mailing address
1675 N FREEDOM BLVD, BUILDING 10B, PROVO, UT 84604-2540
(801) 885-7624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
373957-2401
UT
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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