BRIAN LEE ETHRIDGE

MADISON, WI
NPI1184770711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  794-019)
Enumeration Date2007-01-26
Last Update Date2014-02-05
Business Address
-- BRIAN LEE ETHRIDGE pta
333 W MAIN ST
MADISON, WI 53703-2777
Phone number: 608-283-2123
Mailing Address
-- BRIAN LEE ETHRIDGE pta
7704 WESTCHESTER DR
MIDDLETON, WI 53562-3600
Phone number: 608-445-3317
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