Individual
MRS. JESSICA ANN LERVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 157-4500
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 157-4500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1392
ND
Other
Enumeration date
01/23/2008
Last updated
06/15/2023
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