Individual
KELSEY JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15590 90TH ST NE, OTSEGO, MN 55330-9452
(763) 755-4275
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201622
MN
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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