Doctor Name: | KATHLEEN CAROLINE JENSEMA |
NPI Number: | 1215229471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | PT021224 |
Business Practice Address: | 8100 Washington Ln Wyncote, PA - 190951600 |
Business Phone Number: | 2155768000 |
Business Fax Number: | |
Mailing Address: | 107 Rochelle Ave, Apt 3f PHILADELPHIA |
State: | PA |
Postal Code: | 191283853 |
Phone Number: | 2152647849 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2011 |
NPI Last Update Date: | 05/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT021224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |