Individual
TONIA JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
770 UT-99, FILLMORE, UT 84631
(435) 743-6100
Mailing address
65 N STATE ST, JOSEPH, UT 84739-1208
(435) 654-8963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12273901-2402
UT
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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