Individual
MARISA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
708 S JEFFERSON WAY, INDIANOLA, IA 50125-3216
(515) 962-9555
(515) 961-0087
Mailing address
708 S JEFFERSON WAY, INDIANOLA, IA 50125-3216
(515) 962-9555
(515) 961-0087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005131
IA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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