Kaitlyn N Ivanov, PT

NPI #1275967713 in Portsmouth, New Hampshire

Provider Information

NPI Number: 1275967713
Entity Type: Individual
Name: Kaitlyn N Ivanov, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 31, 2013
Last Updated: Sep 9, 2019

Practice Location

Address: 12 PORTWALK PL
City: Portsmouth
State: New Hampshire
ZIP Code: 03801
Phone: (603) 431-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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