James Joseph Detwiler Ibach, LPTA

NPI #1679048482 in Milford, Delaware

Provider Information

NPI Number: 1679048482
Entity Type: Individual
Name: James Joseph Detwiler Ibach, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Oct 8, 2018
Last Updated: Oct 8, 2018

Practice Location

Address: 907 N DUPONT BLVD STE 104
City: Milford
State: Delaware
ZIP Code: 19963-1060
Phone: (302) 422-2518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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