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1093762486
ERIK THORVALD IVERSEN
SIMI VALLEY, CA
NPI
1093762486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 29275)
Enumeration Date
2006-05-30
Last Update Date
2007-09-20
Business Address
-- ERIK THORVALD IVERSEN MPT
2585 COCHRAN ST SUITE A
SIMI VALLEY, CA 93065-2602
Phone number: 805-584-0001
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Mailing Address
-- ERIK THORVALD IVERSEN MPT
2585 COCHRAN ST SUITE A
SIMI VALLEY, CA 93065-2602
Phone number: 805-584-0001
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