Provider Demographics
NPI:1427253467
Name:JENSEN, MONICA MARIE (PT)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MARIE
Last Name:JENSEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 W VIA CABALLO BLANCO
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-7057
Mailing Address - Country:US
Mailing Address - Phone:623-792-7340
Mailing Address - Fax:
Practice Address - Street 1:7208 E CAVE CREEK RD, SUITE H
Practice Address - Street 2:
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377
Practice Address - Country:US
Practice Address - Phone:480-488-9095
Practice Address - Fax:480-488-2862
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist