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Individual
KARL ALEXANDER NIVISON
Active
Individual
KARL ALEXANDER NIVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027609
PA
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/20/2019
Last updated
10/23/2021
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