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1124610837
ETHAN KICKER
PELHAM, AL
NPI
1124610837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH10221)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
ETHAN KICKER
3569 PELHAM PKWY STE 7
PELHAM, AL 35124-2033
Phone number: 205-664-8404
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Mailing Address
ETHAN KICKER
2823 GREYSTONE COMMERCIAL BLVD
HOOVER, AL 35242-2660
Phone number:
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