Individual
DARIUS IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14413 BYWOOD AVE, BATON ROUGE, LA 70819-2006
(225) 302-2321
Mailing address
14413 BYWOOD AVE, BATON ROUGE, LA 70819-2006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8885
LA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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