Ivan Luke West SR.

NPI #1720481948 in Magnolia, Delaware

Provider Information

NPI Number: 1720481948
Entity Type: Individual
Name: Ivan Luke West SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 1, 2014
Last Updated: Oct 1, 2014

Practice Location

Address: 175 CIDER RUN
City: Magnolia
State: Delaware
ZIP Code: 19962-1667
Phone: (302) 233-8622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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