ETHAN GABRIEL BROWN

WAXHAW, NC
NPI1710676812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A8052)
Enumeration Date2023-05-04
Last Update Date2023-05-04
Business Address
ETHAN GABRIEL BROWN PTA
105 WAXHAW PROFESSIONAL PARK DR STE B
WAXHAW, NC 28173-5018
Phone number: 704-459-4013
Mailing Address
ETHAN GABRIEL BROWN PTA
4150 CULP RIDGE TRL APT 308
INDIAN LAND, SC 29707-6180
Phone number: 803-847-2657
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