Individual
CARLENE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5825 SAINT CROIX AVE N, GOLDEN VALLEY, MN 55422-4419
(763) 732-1449
Mailing address
16305 4TH AVE N, PLYMOUTH, MN 55447-3619
(763) 249-1080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102161
MN
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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