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Individual

REBECCA LYNN JORGENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
349134
OR
225XH1200X
Hand Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500693978
OR
Enumeration date
10/06/2015
Last updated
08/31/2016
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