Individual
MISS JILL SUZANNE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4170 SPINNAKER DR, APT 506, GULF SHORES, AL 36542-2957
(417) 619-6105
Mailing address
4170 SPINNAKER DR, APT 506, GULF SHORES, AL 36542-2957
(417) 619-6105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4017
AL
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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