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Individual

JAYCI SHAY SIVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 946-7500
Mailing address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 946-7500

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2797
ND

Other

Enumeration date
09/17/2024
Last updated
09/17/2024
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