Individual
JAMES H JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
80 E 1000 N STE A, RICHFIELD, UT 84701-1870
(435) 896-6653
(435) 896-6662
Mailing address
80 E 1000 N STE A, RICHFIELD, UT 84701-1870
(435) 896-6653
(435) 896-6662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
328293-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225249
SELECT HEALTH CARE
UT
01
—
423196
PEHP
UT
05
—
870384752005
—
UT
05
—
D1785
—
UT
Enumeration date
06/27/2006
Last updated
06/25/2008
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