Individual provider · Type 1 NPI

Nicole Renee Jensen

Pediatric Physical Therapist · San Jose, CA

NPI number 1225240773 Active

Practice location

1530 Meridian Ave, Suite 150
San Jose, CA 95125-5350

Call (408) 979-2300 Map

Mailing address

2389 Azevedo Pkwy
San Jose, CA 95125-6654

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X25543 (CA)
Pediatric Physical Therapist Primary 2251P0200X30675 (AZ)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1225240773

Nicole Renee Jensen's National Provider Identifier is 1225240773, issued on May 5, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Jose, CA. The record was last updated on Dec 16, 2024.