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Individual

IVAN A PANAYOTOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6151 DAYLONG LN, CLARKSVILLE, MD 21029-1639
(410) 531-2525
(410) 531-2289
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22785
MD

Other

Enumeration date
03/24/2010
Last updated
07/16/2019
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