Individual
GINA JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(570) 740-5391
Mailing address
121 N MAIN ST APT D, SHAVERTOWN, PA 18708-1459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT022245
PA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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