Individual
MRS. JEAN ELAINE HENRIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11279 W GRIER RD, MARANA, AZ 85653-9609
(520) 682-4782
(520) 682-4818
Mailing address
6315 N DESERT WILLOW DR, TUCSON, AZ 85743-8702
(520) 744-4769
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1145
AZ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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