Tina Marie Jensen PTA

NPI 1003015579 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1003015579
Gender Female
Enumeration Date 07/15/2007
Last Updated 07/15/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9 HAYWOOD AVE
RUTLAND VT, 05701-4832, US
Phone (802) 747-6433
Fax
Business Location
215 PARKER RD
EAST WALLINGFORD VT, 05742-9690, US
Phone (802) 259-2192
Fax
Toxanomy
Taxonomy Code 225200000X
License State Vermont
License Number 041-0000318
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According to our database, Ms. Tina Marie Jensen PTA NPI is 1003015579, taxonomy code is 225200000X and license number is 041-0000318, license state is located at Vermont. Tina Marie Jensen PTA physically located at 9 Haywood Ave, Rutland VT, 05701-4832. NPI Number Tina Marie Jensen PTA has the Individual type.

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1003015579 NPI number is provided on an as is basis without warranty of any kind. 1003015579 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Marie Jensen PTA are for informational purposes only.