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Individual

DR. BRIAN ISHERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
502 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80903-3611
(719) 473-2958
(719) 473-1004
Mailing address
502 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80903-3611
(719) 473-2958
(719) 473-1004

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11420
CO
2251X0800X
Orthopedic Physical Therapist
12253
NC

Other

Enumeration date
08/18/2009
Last updated
10/04/2011
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