Individual
JAMES IVERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4478
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L083091854
DRIVER'S LICENSE
OK
Enumeration date
05/21/2020
Last updated
05/21/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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