KELLY JENSON

LOCKPORT, IL
NPI1366497190
Former NameKELLY VAN WETERING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-014044)
Enumeration Date2006-05-23
Last Update Date2011-02-23
Business Address
-- KELLY JENSON PT
16622 W 159TH ST STE 503
LOCKPORT, IL 60441-8014
Phone number: 815-838-5070
Mailing Address
-- KELLY JENSON PT
16622 W 159TH ST STE 503
LOCKPORT, IL 60441-8014
Phone number: 815-838-5070
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