Individual
MISS AMY LYNN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
96 W MAIN ST, STE. B, WOODLAND, CA 95695-3016
(530) 668-1010
(530) 668-9799
Mailing address
96 W MAIN ST, STE. B, WOODLAND, CA 95695-3016
(530) 668-1010
(530) 668-9799
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
14728
CA
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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