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General NPI Number Information
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NPI Number | 1851100630
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Entity Type | Organization
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Legal Business Name | JENSEN PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 769 N PINE ST
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City | ORANGE
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State | CA
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Zip | 92867-6860
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Country | US
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Telephone | 714-394-3026
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Fax |
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Provider Business Mailing Address
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Address Line | 960 N TUSTIN ST # 319
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City | ORANGE
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State | CA
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Zip | 92867-5956
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER JENSEN
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Credential |
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Telephone | 714-394-3026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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