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1154414167
ETHAN WHITE
BIRMINGHAM, AL
NPI
1154414167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH2033)
Enumeration Date
2006-10-02
Last Update Date
2013-08-28
Business Address
MR. ETHAN WHITE MSPT
3125 INDEPENDENCE DRIVE 300B
BIRMINGHAM, AL 35209
Phone number: 205-879-7501
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Mailing Address
MR. ETHAN WHITE MSPT
3125 INDEPENDENCE DRIVE 300B
BIRMINGHAM, AL 35209
Phone number: 205-879-7501
Copy
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