Individual
MS. MARI L JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
1350 CENTRAL AVE, SUITE 105, LOS ALAMOS, NM 87544-3244
(505) 662-3384
Mailing address
1350 CENTRAL AVE, SUITE 105, LOS ALAMOS, NM 87544-3244
(505) 662-3384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3568
NM
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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