IndividualActive
Brian Iveson, DSCPT
NPI 1962476804 · Physical Therapist · Quantico, VA
Provider details
- NPI number
- 1962476804
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DSCPT
- Sex
- Male
- Sole proprietor
- No
- License
- 5501010161 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Phone: (703) 784-3205
Approximate (ZIP-level) locationGet directions
Mailing address
3259 Catlin Ave
Quantico, VA 22134-5109
Registry dates
- Enumerated
- 2006-02-16
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.