Ivan Luke West Sr.
Ivan Luke West Sr. is a Physical Therapy Assistant in Magnolia, Delaware. Practices as a sole proprietor. Licensed in Delaware.
- Licensed in
- DE
- In the registry since
- 2014
Practice location Address checks out
175 Cider RunMagnolia, DE 19962-1667
Phone: (302) 233-8622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence J2-0000771 (DE) |
|---|
Record details
| NPI number | 1720481948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2014 |
| Last updated in NPPES | October 1, 2014 |
| Mailing address | 175 Cider Run, Magnolia, DE 19962-1667 |
Other providers in Magnolia
-
Debra Anne Hanna, PTA
801 Sophers Row, Magnolia, DE 19962-1346 · (302) 423-4398