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1033585138
ETHAN COVALT
HUNTINGDON, PA
NPI
1033585138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TEI004324)
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- ETHAN COVALT
403 6TH ST BOX 870
HUNTINGDON, PA 16652-1518
Phone number: 877-312-6576
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Mailing Address
-- ETHAN COVALT
560 MAIN LINE DR
LEWISTOWN, PA 17044-8127
Phone number: 717-462-0372
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