Individual provider · Type 1 NPI
Ann Victoria Jorstad, PT
Military Health Care Provider · Fpo, JP
NPI number
1477614733
Active
Practice location
Edis Clinic, Psc 482 Box 1600
Fpo, JP 96367
Mailing address
2213 Hidden Valley Rd
Northfield, MN 55057-3109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 1096 (MN) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Fpo
About NPI 1477614733
Ann Victoria Jorstad, PT's National Provider Identifier is 1477614733, issued on Dec 12, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fpo, JP. The record was last updated on Jul 8, 2007.