Individual
KIMBERLY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 W NORTH AVE, WAUWATOSA, WI 53213-1717
(414) 258-6170
Mailing address
7500 W NORTH AVE, WAUWATOSA, WI 53213-1717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1984-19
WI
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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