Individual
JOHN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
178 N PLEASANT AVE, RIDGEWOOD, NJ 07450-3525
(201) 669-2597
Mailing address
178 N PLEASANT AVE, RIDGEWOOD, NJ 07450-3525
(201) 669-2597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00693100
NJ
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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