Individual
JENNIFER MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
700 OREGON ST, HIAWATHA, KS 66434-2232
(785) 742-7606
(785) 742-4490
Mailing address
700 OREGON ST, HIAWATHA, KS 66434-2232
(785) 742-7606
(785) 742-4490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1368
NE
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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