NPI 1164559985

Debra Ann Jensen, PTA

Practitioner Physical Therapy Assistant Southampton, NY

Practice location

Address: 240 Meeting House Ln, Southampton, NY 11968-5009
Phone: (631) 726-8520
Mailing address: PO Box 874, East Quogue, NY 11942-0874

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 003684-1 (NY)

Other Physical Therapy Assistant providers in New York →

Registry record

NPI: 1164559985
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2007
Record last updated: 8 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.