Individual
PER K JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
ONE TEXAS STATION COURT, SUITE 300, TIMONIUM, MD 21093
(410) 683-2110
(410) 683-2115
Mailing address
5540 BLUECOAT LN, COLUMBIA, MD 21045-2206
(410) 772-8730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03449
MD
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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