Provider / Organization | NPI | Date Certified |
---|---|---|
SARAH GRACE IVANOVA | 1891399739 | 2023-04-26 |
Sarah Grace Ivanova is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891399739. Registration indicates Sarah Grace Ivanova is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Dr. Sarah Grace Ivanova PT, DPT |
Other Provider Name | Sarah Grace Bailey |
Practice Office Address | 531 FAUNCE CORNER RD DARTMOUTH, MA US |
Practice Office Telephone | 5089963991 |
Mailing Address | 531 FAUNCE CORNER RD DARTMOUTH, MA 027471242 US |
Business Telephone | 5089963991 |
Code | Practice | License No State |
---|---|---|
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 25319
MA |