FRED R JENSEN

PROVIDENCE, RI
NPI1548281884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: RI  PTA00421)
Enumeration Date2006-07-22
Last Update Date2007-07-08
Business Address
Mr. FRED R JENSEN PTA
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Mailing Address
Mr. FRED R JENSEN PTA
43 HAWTHORNE ST
NORTH PROVIDENCE, RI 02904-3816
Phone number:
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