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1245921188
ETHAN ALAN MITCHELL
HASLET, TX
NPI
1245921188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1380951)
Enumeration Date
2023-05-19
Last Update Date
2023-08-08
Business Address
ETHAN ALAN MITCHELL DPT
12520 WILLOW SPRINGS RD BLDG 3-104
HASLET, TX 76052-3584
Phone number: 817-210-6196
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Mailing Address
ETHAN ALAN MITCHELL DPT
PO BOX 2650
COPPELL, TX 75019-8607
Phone number: 972-724-2400
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