Individual
ABIGAIL JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
1967 E WILSON LN APT B, MERIDIAN, ID 83642-2382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7258
ID
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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