ETHAN BRAYTENBAH

HIXSON, TN
NPI1477965762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  9938)
Enumeration Date2014-05-21
Last Update Date2014-05-21
Business Address
-- ETHAN BRAYTENBAH
1790 HAMILL RD
HIXSON, TN 37343-5179
Phone number: 423-842-9322
Mailing Address
-- ETHAN BRAYTENBAH
1790 HAMILL RD
HIXSON, TN 37343-5179
Phone number: 423-842-9322
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