Jared Ivankovic-Macgibbon

NPI #1154043784 in Dedham, Massachusetts

Provider Information

NPI Number: 1154043784
Entity Type: Individual
Name: Jared Ivankovic-Macgibbon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 12, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 391 COMMON ST
City: Dedham
State: Massachusetts
ZIP Code: 02026-4055
Phone: (877) 407-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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