NPI 1285315507
Jenson Jose Daniel, PTA
Practice location
- Address
- 600 Main St S, Minot, ND 58701-4499
- Phone
- (914) 510-5861
- Mailing address
- 421 Riverside Park Rd APT 2, Bismarck, ND 58504-5371
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1285315507
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jul 2023
- Record last updated
- 28 Jul 2023
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.