Doctor Name: | DR. KAREN LYNN JENSEN-VICK |
NPI Number: | 1316967292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, COMT |
License Number: | 2305203815 |
Business Practice Address: | 2445 Centreville Rd 2nd Floor Herndon, VA - 201713013 |
Business Phone Number: | 7037934851 |
Business Fax Number: | 7037934853 |
Mailing Address: | 2445 Centreville Rd, 2nd Floor HERNDON |
State: | VA |
Postal Code: | 201713013 |
Phone Number: | 7037934851 |
Fax Number: | 7037934853 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305203815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |