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1851077127
IAN MAXWELL
PHILADELPHIA, PA
NPI
1851077127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT031566)
Enumeration Date
2023-06-22
Last Update Date
2023-08-14
Business Address
IAN MAXWELL
1608 WALNUT ST STE 200
PHILADELPHIA, PA 19103-5426
Phone number: 155-458-7172
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Mailing Address
IAN MAXWELL
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number:
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