Individual
KATIE LYNN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467797779
—
MN
05
—
1467797779
—
WI
Enumeration date
11/28/2012
Last updated
10/12/2019
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