| NPI | 1629156674 |
|---|---|
| Former Name | LESLIE J JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02897) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28314) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-12-22 |