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1609186733
THERESA VIRGINIA IVERSON
WALNUT CREEK, CA
NPI
1609186733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 21519)
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
Mrs. THERESA VIRGINIA IVERSON MPT
1874 TICE VALLEY BLVD.
WALNUT CREEK, CA 94595
Phone number: 925-283-4653
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Mailing Address
Mrs. THERESA VIRGINIA IVERSON MPT
3242 SWEET DR
LAFAYETTE, CA 94549-5369
Phone number: 925-283-4653
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