Individual
JESSICA BERVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1170 CUSHING CIR, 214, SAINT PAUL, MN 55108-5007
(701) 330-6002
Mailing address
1170 CUSHING CIR, 214, SAINT PAUL, MN 55108-5007
(701) 330-6002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1037
ND
225200000X
Physical Therapy Assistant
Primary
A1785
MN
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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