Doctor Name: | MRS. JESSICA ANN LERVICK |
NPI Number: | 1184801045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1392 |
Business Practice Address: | 2700 State St Bismarck, ND - 585030669 |
Business Phone Number: | 7015306400 |
Business Fax Number: | |
Mailing Address: | 2700 State St, BISMARCK |
State: | ND |
Postal Code: | 585030669 |
Phone Number: | 7015306400 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2008 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |