Eric Ivancich, DPT

NPI #1972880201 in Whiting, New Jersey

Provider Information

NPI Number: 1972880201
Entity Type: Individual
Name: Eric Ivancich, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 15, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 67 LACEY RD
City: Whiting
State: New Jersey
ZIP Code: 08759-2912
Phone: (732) 849-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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