Individual
MS. KAREN R JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1118 14TH AVE, LONGVIEW, WA 98632-3017
(360) 636-4360
Mailing address
1439 23RD AVE, LONGVIEW, WA 98632-2723
(360) 423-8858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7669
OR
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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