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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEGGY A IVAN, PT

Active Sole Proprietor

Physical Therapy Assistant · FREELAND, MI

Registration Details

NPI Number
1013963206
Provider Type
Individual
Gender
Female
NPI Issued
May 26, 2006 (19.946626101017 yrs)
Last Updated
Feb 9, 2012
Licenses
5501004011 (MI)
406631-00 (MI)
Sole Proprietor
Yes

Practice Information

Address
3680 S ORR RD
FREELAND, MI, 486239111
Browse MI providers · Browse ZIP 48623
Phone
9896959282
Fax
9896959283
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Massage Therapist

Other Physical Therapy Assistant Providers in FREELAND, MI

Name Credential NPI
DR. KENT E TIMM PHD, DPT, PT 1285617852
MATTHEW JOHN DULEY MSPT 1104004126
MRS. JANA CAROLYN KELLER DPT 1134499833
MRS. CATHY-SUE MYERS STEIB DPT 1770929549
MRS. LISA ARLOA SMITH PT 1588002414
DR. DIANE KIRKBRIDE DPT 1952728875
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.