Jensen, Amy Jo

Jensen, Amy Jo is an sole proprietor health care provider with primary practice located at 2411 W 110Th St , Bloomington MN 55431-3926. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jensen, Amy Jo can be contacted via phone (612) 709-3979.

Contact Information

Primary practice address
2411 W 110Th St Bloomington MN 55431-3926
Phone: (612) 709-3979
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 104240 Minnesota

Profile Details

NPI number 1932451325
LBN Legal business name Jensen, Amy Jo
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2012
Last updated Feb 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932451325 NPPES
Minnesota Other 104240 OCCUPATIONAL THERAPY PRACTITIONER
Minnesota Other 296222 OCCUPATIONAL THERAPY PRACTITIONER

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