Jared Ivankovic-Macgibbon
Jared Ivankovic-Macgibbon is a Physical Therapist in Dedham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.
- Licensed in
- MA
- In the registry since
- 2022
Practice location Address checks out
391 Common StDedham, MA 02026-4055
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 26304 (MA) |
|---|
Record details
| NPI number | 1154043784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 12, 2022 |
| Last updated in NPPES | September 12, 2022 |
| Certification date | September 12, 2022 |
| Mailing address | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
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