IndividualActive
Ivan West
NPI 1720481948 · Physical Therapy Assistant · Magnolia, DE
Provider details
- NPI number
- 1720481948
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- J2-0000771 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
175 Cider Run
Magnolia, DE 19962-1667
Phone: (302) 233-8622
Approximate (ZIP-level) locationGet directions
Mailing address
175 Cider Run
Magnolia, DE 19962-1667
Registry dates
- Enumerated
- 2014-10-01
- Last updated
- 2014-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.