Individual
SARAH IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HAWKINS DR, IOWA CITY, IA 52242-1016
(319) 353-6900
Mailing address
100 HAWKINS DR, IOWA CITY, IA 52242-1016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105485
IA
225100000X
Physical Therapist
5501018461
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501018461
—
MI
Enumeration date
03/07/2018
Last updated
11/24/2020
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