Individual
DANIELLE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
43491 N COYOTE RD, SAN TAN VALLEY, AZ 85140-8924
(602) 421-7718
Mailing address
43491 N COYOTE RD, SAN TAN VALLEY, AZ 85140-8924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11296A
AZ
Other
Enumeration date
01/05/2015
Last updated
04/03/2015
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