Individual
MISS AUBREY ANNE JENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
358 W WASATCH ST, MIDVALE, UT 84047-7402
(801) 635-6062
Mailing address
358 W WASATCH ST, MIDVALE, UT 84047-7402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8736508-4202
UT
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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