Jensen, Summer

Jensen, Summer is an sole proprietor health care provider with primary practice located at 3992 42Nd Ave S , Saint Petersburg FL 33711-4226. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Jensen, Summer can be contacted via phone (727) 688-2472.

Contact Information

Primary practice address
3992 42Nd Ave S Saint Petersburg FL 33711-4226
Phone: (727) 688-2472
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X OT10917 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT10917 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT10917 Florida

Profile Details

NPI number 1558404061
LBN Legal business name Jensen, Summer
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Mar 21st, 2022 - about 4 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 1558404061 NPPES
Florida MEDICAID 888879500

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