Dan Richard Ibarra, P.T.

NPI #1073680328 in Roseburg, Oregon

Provider Information

NPI Number
1073680328
Entity Type
Individual
Name
Dan Richard Ibarra, P.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Nov 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2395 NW STEWART PKWY
State
Oregon
ZIP Code
97470-5653
Phone
(541) 957-5825

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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