Most Relevant Information
Provider Data
| NPI Number: | 1003517145 |
| Provider Name: | CHRISTINA JEAN JENSEN OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 106392 |
Most Important Dates
| Enumeration Date: | 03/15/2023 |
| Last Updated: | 03/15/2023 |
Provider Practice Location
4801 W 81ST ST STE 112
BLOOMINGTON
MN
554371111
Practice Location Phone/Fax
| Phone: | 9523453000 |
| Fax: | 9523456789 |
Provider Mailing Location
4801 W 81ST ST STE 112
BLOOMINGTON
MN
554371111
Provider Mailing Phone/Fax
| Phone: | 9523453000 |
| Fax: | 9523456789 |