Individual
JEANIE M IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(763) 588-0811
Mailing address
4640 N ARM DR, MOUND, MN 55364-8176
(406) 223-4827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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