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IVAN IVANOV, PT

PT

Physical Therapist

NPI: 1942832803IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical Therapist

Code: 225100000X

J1-0004181(DE)CP017621T(CO)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2019

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Contact & Hours

Address
2607 WYOMING BLVD NE
ALBUQUERQUE, NM 87112

Quick Facts

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

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