Eric Jensen
Rehabilitation Practitioner in South Pasadena, CA. Individual provider (NPI-1).
NPI number1235260548
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235260548
- Entity type
- Individual (NPI-1)
- Name
- Eric Jensen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
625 Fair Oaks AveSuite 300
South Pasadena, CA 91030-2630
Phone 626-831-4710
Mailing address
625 Fair Oaks AveSuite 300
South Pasadena, CA 91030-2630
Phone 626-831-4710
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 106 Rehabilitation Practitioner providers in South Pasadena · All 1,268 providers in South Pasadena
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