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1609283944
ETHAN APP
ATASCADERO, CA
NPI
1609283944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 41365)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2014-07-18
Last Update Date
2020-08-19
Business Address
Mr. ETHAN APP MPT
3218 EL CAMINO REAL
ATASCADERO, CA 93422-2500
Phone number: 805-462-1110
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Mailing Address
Mr. ETHAN APP MPT
1421 RIVERSIDE AVE
PASO ROBLES, CA 93446-1730
Phone number: 805-462-1110
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