Individual
DR. BRIAN ISHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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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