Peggy A Ivan, PT

NPI #1013963206 in Freeland, Michigan

Provider Information

NPI Number: 1013963206
Entity Type: Individual
Name: Peggy A Ivan, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 26, 2006
Last Updated: Feb 9, 2012

Practice Location

Address: 3680 S ORR RD
City: Freeland
State: Michigan
ZIP Code: 48623-9111
Phone: (989) 695-9282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Massage Therapist	225700000X

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