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1255639704
IVY D JIMENEZ
NORTHRIDGE, CA
NPI
1255639704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 35865)
Enumeration Date
2011-03-08
Last Update Date
2011-03-08
Business Address
-- IVY D JIMENEZ PT
17650 DEVONSHIRE ST
NORTHRIDGE, CA 91325-1445
Phone number: 818-886-1616
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Mailing Address
-- IVY D JIMENEZ PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 610-991-2034
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