# MRS. ABBY L JORGENSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558346353
- **Gender:** F
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 0578 | SD | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 08/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10134 | AVERA HEALTH PLAN | SD |
| 01 | — | 28717 | SANDFORD HEALTH PLAN | SD |
| 01 | — | 4995629 | WELLMARK | SD |
| 01 | — | 5836150 | MEDICAID | SD |
| 01 | — | 5836152 | MEDICAID | SD |
| 01 | — | 9245763 | DAKOTACARE | SD |