Individual
REBECCA JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSM CEP
Contact information
Practice address
41 MONTAGUE PL APT 2, MONTCLAIR, NJ 07042-2855
(973) 980-1644
Mailing address
41 MONTAGUE PL APT 2, MONTCLAIR, NJ 07042-2855
(973) 980-1644
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1066579
NJ
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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