ETHAN O'HEARN

VALRICO, FL
NPI1740018019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA29120)
Enumeration Date2024-07-26
Last Update Date2024-07-26
Business Address
ETHAN O'HEARN PTA
1586 BLOOMINGDALE AVE
VALRICO, FL 33596-6101
Phone number: 813-978-9700
Mailing Address
ETHAN O'HEARN PTA
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0915
Phone number: 813-978-9700