Individual
MS. JENNIFER CAROLE KIENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 LOVE LN, SOUTH DENNIS, MA 02660-3445
(508) 385-6034
Mailing address
1894 37TH ST SE, SAINT CLOUD, MN 56304-9508
(320) 227-2606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23520
MA
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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