Individual
DR. TYSON JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-7678
Mailing address
2075 E 7550 S APT E301, SOUTH WEBER, UT 84405-9540
(801) 645-6366
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11297410-2401
UT
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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