IVAN IVANOV, PT

PT

Physical Therapist

NPI: 1942832803IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

J1-0004181(DE)CP017621T(CO)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2019

Contact & Hours

Via practice · 3 locations total

Address: 2607 WYOMING BLVD NE
ALBUQUERQUE, NM 87112
Phone: (505) 296-9521

Locations (3)

Practice Location

2607 WYOMING BLVD NE, ALBUQUERQUE, NM

Practice Location

2611 JONES AVE, PUEBLO, CO

Practice Location

914 JUSTISON ST, WILMINGTON, DE

Quick Facts

NPI: 1942832803
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 3
Locations: 3
Years in Practice: 7

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