ETHAN COVALT

HUNTINGDON, PA
NPI1033585138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TEI004324)
Enumeration Date2015-08-12
Last Update Date2015-08-12
Business Address
-- ETHAN COVALT
403 6TH ST BOX 870
HUNTINGDON, PA 16652-1518
Phone number: 877-312-6576
Mailing Address
-- ETHAN COVALT
560 MAIN LINE DR
LEWISTOWN, PA 17044-8127
Phone number: 717-462-0372