MR. Ivan Broaderick Gresham
NPI #1457789653 in Callahan, Florida
Provider Information
- NPI Number
- 1457789653
- Entity Type
- Individual
- Name
- MR. Ivan Broaderick Gresham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Oct 24, 2013
- Last Updated
- Oct 24, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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