| NPI | 1366083586 |
|---|---|
| Former Name | LEAH JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MN 11520) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11520) |
| 225100000X Physical Therapist (Licence: ND 2308) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: ND 2308) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2022-12-07 |