Mark Lavon Jorgensen, M.S., P.T.

NPI #1578826947 in Paradise, Utah

Provider Information

NPI Number: 1578826947
Entity Type: Individual
Name: Mark Lavon Jorgensen, M.S., P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: M.S., P.T.
Enumeration Date: Jun 20, 2012
Last Updated: May 15, 2015

Practice Location

Address: 345 E 9500 S
City: Paradise
State: Utah
ZIP Code: 84328-8903
Phone: (435) 764-0710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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