MR. Ivan St.louis, PTA

NPI #1477912749 in Wheatley Hgts, New York

Provider Information

NPI Number: 1477912749
Entity Type: Individual
Name: MR. Ivan St.louis, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 16, 2016
Last Updated: Feb 16, 2016

Practice Location

Address: 8 ADAMS AVENUE
City: Wheatley Hgts
State: New York
ZIP Code: 11798
Phone: (631) 220-0655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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