Individual provider · Type 1 NPI

Danilo Ibarra, LMT

Specialist · Wilton Manors, FL

NPI number 1366693111 Active

Practice location

1650 NE 26th St, Suite 101
Wilton Manors, FL 33305-1431

Fax (954) 564-6513

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XMA52106 (FL)
Specialist Primary 174400000XMA52106 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1366693111

Danilo Ibarra, LMT's National Provider Identifier is 1366693111, issued on Oct 9, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wilton Manors, FL. The record was last updated on Oct 9, 2008.