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Contact Information

THERESA V IVERSON, MPT
1874 TICE VALLEY BLVD.
WALNUT CREEK, CA94595
 Phone: 925-283-4653
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for THERESA V IVERSON · (Female)

NPI # 1609186733
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 10/07/2010
Last updated 10/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 21519
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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