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Jensen Nicole Allen, MS, OTR/L

Occupational Therapist in Meridian, ID. Individual provider (NPI-1).

NPI number1760197271
StatusActive
Last updated in NPPESJan 18, 2023

Details

NPI
1760197271
Entity type
Individual (NPI-1)
Name
Jensen Nicole Allen
Credential
MS, OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2023
Certification date
Jan 18, 2023
Last updated
Jan 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT-2679IDYes

Practice location

520 S Eagle Rd
Meridian, ID 83642-6351

Phone 714-293-1662

Mailing address

2594 Flanders Ct
Brea, CA 92821-4666

Phone 714-293-1662

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