Organization
IVEY PHYSICAL THERAPY A PROFESSIONAL CORPORATION
Active
Other names
Sanderson Ivey Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DALE IVEY (PRESIDENT)
(530) 273-4152
Entity
Organization
Contact information
Practice address
10565 BRUNSWICK RD, SUITE 4, GRASS VALLEY, CA 95945-9053
(530) 273-4152
(530) 273-4153
Mailing address
10565 BRUNSWICK RD, SUITE 4, GRASS VALLEY, CA 95945-9053
(530) 273-4152
(530) 273-4153
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT20829
CA
Other
Enumeration date
03/03/2007
Last updated
07/08/2019
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