Individual
IAN QUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4501 MAIN ST, SHALLOTTE, NC 28470-4589
(910) 755-5863
Mailing address
938 POCAHONTAS DR, FORT WALTON BEACH, FL 32547-3283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21752
NC
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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