STEVANUS IBRAHIM

WEST COVINA, CA
NPI1285865832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  35401)
Enumeration Date2009-07-30
Last Update Date2021-06-14
Business Address
Mr. STEVANUS IBRAHIM PT, D.P.T.
1135 S SUNSET AVE STE 101
WEST COVINA, CA 91790-3938
Phone number: 626-732-8351
Mailing Address
Mr. STEVANUS IBRAHIM PT, D.P.T.
3013 E MESA DR
WEST COVINA, CA 91791-2227
Phone number: 626-347-9722