Individual
JOSHUA ALEXANDER JIVIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
715 CONGRESS PARK DR, DAYTON, OH 45459-4044
(937) 660-7638
Mailing address
6411 REVERIE LN, DAYTON, OH 45449-3536
(937) 838-2192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OH
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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