Individual
DR. JAVIER J IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-3100
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-3100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3420
NV
Other
Enumeration date
08/15/2016
Last updated
01/09/2018
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