Provider Demographics
NPI:1699739763
Name:OGREN, JESSICA J (OTR)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:J
Last Name:OGREN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10608 ALISON WAY
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55077-5471
Mailing Address - Country:US
Mailing Address - Phone:651-686-1094
Mailing Address - Fax:
Practice Address - Street 1:1970 CHRISTENSEN AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-5105
Practice Address - Country:US
Practice Address - Phone:651-554-0926
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100806225XE1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN100806OtherSTATE LICENSE NUMBER