Individual
CHRISTINE JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
3604 POTEET DR APT 217, MESQUITE, TX 75150-7650
(469) 585-6441
Mailing address
3604 POTEET DR APT 217, MESQUITE, TX 75150-7650
(469) 585-6441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT#4479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT#4479
STATE OF TEXAS
TX
Enumeration date
07/27/2015
Last updated
07/27/2015
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