Individual
JENNIFER IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, OCS
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8700
(701) 234-7961
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8700
(701) 234-7961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1257
ND
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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