Individual
MRS. ADRIANNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
719 S ROBERT ST, BOISE, ID 83705-2402
(208) 521-4811
Mailing address
719 S ROBERT ST, BOISE, ID 83705-2402
(208) 521-4811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3185
ID
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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