KARISSA GAYLE JENSEN

NEWPORT NEWS, VA
NPI1861937633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  9353)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: VA  0131001672)
Enumeration Date2017-01-03
Last Update Date2017-01-03
Business Address
-- KARISSA GAYLE JENSEN COTA/L
12997 NETTLES DR
NEWPORT NEWS, VA 23602-6913
Phone number: 757-249-8880
Mailing Address
-- KARISSA GAYLE JENSEN COTA/L
4356 DUFFY DR
VIRGINIA BEACH, VA 23462-7951
Phone number: 954-557-6739