Individual
IAN B ISOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 DARLING ST, NEWARK, DE 19702-3762
(302) 669-7831
Mailing address
171 DARLING ST, NEWARK, DE 19702-3762
(302) 669-7831
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306606398
VA
225200000X
Physical Therapy Assistant
CP049173A
MD
225200000X
Physical Therapy Assistant
Primary
J2-0011626
DE
Other
Enumeration date
03/02/2026
Last updated
03/03/2026
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