MICHELLE GRACE-JENSEN, PT
Physical Therapist
Active
Individual
NPI: 1780625764
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 3728-24 (WI) |
Frequently Asked Questions
NPI 1780625764 is the National Provider Identifier for MICHELLE GRACE-JENSEN, PT, a Physical Therapist provider located in Random Lake, WI. This NPI was enumerated on June 9, 2006.
MICHELLE GRACE-JENSEN, PT practices at 233 CARROLL ST, Random Lake, WI 53075.
Quick Facts
- NPI
- 1780625764
- Type
- Individual
- Enumerated
- Jun 9, 2006
- Last Updated
- Aug 13, 2007
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