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BRIAN D IVESON, DSCPT

Active

BRIAN D IVESON, DSCPT is a Physical Therapy Assistant healthcare provider located in QUANTICO, Virginia. NPI 1962476804 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · QUANTICO, VA

Registration Details

NPI Number
1962476804
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2006 (20.503930575863 yrs)
Last Updated
Apr 3, 2024
License
5501010161 (MI)

Practice Information

Address
3259 CATLIN AVE
QUANTICO, VA, 221345109
Browse VA providers · Browse ZIP 22134
Phone
7037843205
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in QUANTICO, VA

Name Credential NPI
CARRIE ANN STORER DPT, OCS 1972677714
DAWN M INGRAM DPT 1831398619
JAMES ALAN BUTCHER 1427232560
MICHELLE MILLER DPT 1174809305
KEITH LEE SR. DPT 1174997324
CAITLIN ANN NOLAN 1588171946
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.