MR. Ivan Sultan, MPT

NPI #1871506659 in Astoria, Oregon

Provider Information

NPI Number: 1871506659
Entity Type: Individual
Name: MR. Ivan Sultan, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Aug 14, 2006
Last Updated: Jul 15, 2013

Practice Location

Address: 2265 EXCHANGE ST
City: Astoria
State: Oregon
ZIP Code: 97103-3331
Phone: (503) 338-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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