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1013410562
ETHAN WEISS
WEXFORD, PA
NPI
1013410562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT026552)
Enumeration Date
2018-03-12
Last Update Date
2020-10-01
Business Address
ETHAN WEISS PT
12311 PERRY HWY
WEXFORD, PA 15090-8344
Phone number: 878-332-4143
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Mailing Address
ETHAN WEISS PT
12311 PERRY HWY
WEXFORD, PA 15090-8344
Phone number: 878-332-4143
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