Individual
LAUREN ELISE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
Mailing address
5330 S NICOLET DR, NEW BERLIN, WI 53151-8252
(414) 427-1092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5404-024
WI
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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