Individual
CHRISTIAN D JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1497 MAIN ST # 265, DUNEDIN, FL 34698-4612
(509) 994-2737
Mailing address
1497 MAIN ST # 265, DUNEDIN, FL 34698-4612
(509) 994-2737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00002537
WA
225X00000X
Occupational Therapist
Primary
OT15164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006249
NBCOT
—
01
—
OT15164
FL STATE OT
FL
Enumeration date
05/27/2006
Last updated
01/25/2023
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