Individual
KAYLEE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD-OTR/L
Contact information
Practice address
3933 MEMORIAL BLVD, SPRINGFIELD, TN 37172-4200
(615) 382-0500
(615) 382-0501
Mailing address
PO BOX 1637, SPRINGFIELD, TN 37172-1637
(615) 988-4552
(615) 382-0501
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7764
TN
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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