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1053197418
ETHAN MOYER
LAKEWOOD, CO
NPI
1053197418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CO 0019931)
Enumeration Date
2023-09-01
Last Update Date
2024-07-28
Business Address
ETHAN MOYER DPT
274 UNION BLVD STE 100
LAKEWOOD, CO 80228-1836
Phone number: 303-232-0391
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Mailing Address
ETHAN MOYER DPT
1 OLD SCHOOLHOUSE RD
PURDYS, NY 10578
Phone number:
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