Doctor Name: | THERESA JENSEN |
NPI Number: | 1487986634 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 016287 |
Business Practice Address: | 1000 Montauk Hwy West Islip, NY - 117954927 |
Business Phone Number: | 6313764108 |
Business Fax Number: | 6313763281 |
Mailing Address: | 44 Forest Ave, MASSAPEQUA |
State: | NY |
Postal Code: | 117587807 |
Phone Number: | 5167952582 |
Fax Number: | 6313763281 |
NPI Enumeration Date: | 02/12/2010 |
NPI Last Update Date: | 02/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 016287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |