Individual
IAN B ISOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306606398
VA
225200000X
Physical Therapy Assistant
CP049173A
MD
225200000X
Physical Therapy Assistant
CP057746A
PA
225200000X
Physical Therapy Assistant
Primary
J2-0011626
DE
Other
Enumeration date
03/02/2026
Last updated
07/06/2026
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