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Individual
REBECCA LYNN JORGENSEN
Active
Individual
REBECCA LYNN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
349134
OR
225XH1200X
Hand Occupational Therapist
—
NULL
225XN1300X
Neurorehabilitation Occupational Therapist
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500693978
—
OR
Enumeration date
10/06/2015
Last updated
08/31/2016
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