Christian D Jorgensen, OTR/L | |
1497 Main St # 265, Dunedin, FL 34698-4612 | |
(509) 994-2737 | |
Not Available |
Full Name | Christian D Jorgensen |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1497 Main St # 265, Dunedin, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457308405 | NPI | - | NPPES |
1006249 | Other | NBCOT | |
OT15164 | Other | FL | FL STATE OT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT00002537 (Washington) | Secondary |
225X00000X | Occupational Therapist | OT15164 (Florida) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130531000379 |
Mailing Address | Practice Location Address |
---|---|
Christian D Jorgensen, OTR/L 1497 Main St # 265, Dunedin, FL 34698-4612 Ph: (509) 994-2737 | Christian D Jorgensen, OTR/L 1497 Main St # 265, Dunedin, FL 34698-4612 Ph: (509) 994-2737 |
Gina Marie Lastella, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 880 Patricia Ave, Dunedin, FL 34698 Phone: 727-803-1102 | |
Mrs. Allyson Renee Garrison, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1255 Saint Andrews Dr, Dunedin, FL 34698 Phone: 901-210-1640 | |
Amanda Pignon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1580 Brandywine Way, Dunedin, FL 34698 Phone: 727-686-1082 | |
Catherine Hofacker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2149 Cedar Dr, Dunedin, FL 34698 Phone: 727-234-5934 | |
Mrs. Jennifer Ann Clark, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 859 Michele Cir, Dunedin, FL 34698 Phone: 215-696-5568 | |
Ms. Cheryl Ann Oberman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2367 Carrie Ct, Dunedin, FL 34698 Phone: 727-420-5385 |