Jensen, Summer
Jensen, Summer is an sole proprietor health care provider with primary practice located at 3992 42Nd Ave S , Saint Petersburg FL 33711-4226. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Jensen, Summer can be contacted via phone (727) 688-2472.Contact Information
Primary practice address
3992 42Nd Ave S
Saint Petersburg FL 33711-4226
Phone: (727) 688-2472
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | OT10917 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT10917 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT10917 | Florida |
Profile Details
| NPI number | 1558404061 |
|---|---|
| LBN Legal business name | Jensen, Summer |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Mar 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558404061 | NPPES |
| Florida | MEDICAID | 888879500 |
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