ETHAN COLE BALDOCK

MEMPHIS, TN
NPI1699294462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  6559)
Enumeration Date2017-09-13
Last Update Date2017-09-13
Business Address
ETHAN COLE BALDOCK PTA
1789 KIRBY PKWY STE 3
MEMPHIS, TN 38138-3657
Phone number: 901-759-1282
Mailing Address
ETHAN COLE BALDOCK PTA
1789 KIRBY PKWY STE 3
MEMPHIS, TN 38138-3657
Phone number: 901-759-1282