NPI 1003015579

Tina Marie Jensen, PTA

Practitioner Physical Therapy Assistant Rutland, VT

Practice location

Address: 9 Haywood Ave, Rutland, VT 05701-4832
Phone: (802) 747-6433
Mailing address: 215 Parker Rd, East Wallingford, VT 05742-9690

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 041-0000318 (VT)

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Registry record

NPI: 1003015579
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2007
Record last updated: 15 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.