Ibrahim, Stevanus

Ibrahim, Stevanus is an sole proprietor health care provider with primary practice located at 1135 S Sunset Ave Ste 101 , West Covina CA 91790-3938. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ibrahim, Stevanus can be contacted via phone (626) 732-8351.

Contact Information

Primary practice address
1135 S Sunset Ave Ste 101 West Covina CA 91790-3938
Phone: (626) 732-8351
Fax: (626) 732-8352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 35401 California

Profile Details

NPI number 1285865832
LBN Legal business name Ibrahim, Stevanus
Credentials PT, D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2009
Last updated Jun 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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