MR. Stevanus Ibrahim, PT, D.P.T.
NPI #1285865832 in West Covina, California
Provider Information
- NPI Number
- 1285865832
- Entity Type
- Individual
- Name
- MR. Stevanus Ibrahim, PT, D.P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, D.P.T.
- Enumeration Date
- Jul 30, 2009
- Last Updated
- Jun 14, 2021
Practice Location
- Address
- 1135 S SUNSET AVE STE 101
- City
- West Covina
- State
- California
- ZIP Code
- 91790-3938
- Phone
- (626) 732-8351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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