Amy M Ivan, L.P.T.A.

NPI #1194034439 in Kirkwood, New York

Provider Information

NPI Number: 1194034439
Entity Type: Individual
Name: Amy M Ivan, L.P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: L.P.T.A.
Enumeration Date: Oct 5, 2010
Last Updated: Mar 17, 2018

Practice Location

Address: 236 BURTS RD
City: Kirkwood
State: New York
ZIP Code: 13795-1731
Phone: (877) 426-3307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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