Individual
DONNA MAE DOEGE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-1697
(651) 254-0910
Mailing address
3510 GUNSTON LN, WOODBURY, MN 55129-4918
(651) 738-6054
(651) 254-0910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101429
MN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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