Individual
MR. IAN HOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
8240 W. CACTUS ROAD, PEORIA, AZ 85381
(623) 878-9696
(623) 776-0668
Mailing address
8240 W. CACTUS RD., PEORIA, AZ 85381
(623) 878-9696
(623) 776-0668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6688
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926157
—
AZ
Enumeration date
05/24/2005
Last updated
11/09/2017
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