| NPI | 1174879324 |
|---|---|
| Former Name | MALIA N.R. JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0011804) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO 0011804) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2019-03-11 |