Jaclyn Gunderson
Rehabilitation Practitioner
3640 9th St Nw
Rochester
, Minnesota 55901-6685
Jaclyn Gunderson
Rehabilitation Practitioner
3640 9th St Nw
Rochester
, Minnesota 55901-6685
(507) 424-3234
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Jaclyn Gunderson
- 3640 9th St Nw
- Rochester, MN
- Zip : 55901-6685
- Phone : (507) 424-3234
Second Address
- Jaclyn Gunderson
- 3640 9th St Nw
- Rochester, MN
- Zip : 55901-6685
- Phone : (507) 424-3234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1023673480 |
|---|---|
| Provider Name | Jaclyn Gunderson |
| First Address | Rochester, MN 55901-6685 |
| Second Address | Rochester, MN 55901-6685 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2019 |
| Last Update Date | 01/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.