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1750847257
ETHAN PEARCY
KINGSPORT, TN
NPI
1750847257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN PT12138)
Enumeration Date
2019-02-20
Last Update Date
2021-07-22
Business Address
ETHAN PEARCY PT
105 W STONE DR # 1D
KINGSPORT, TN 37660-3365
Phone number: 423-578-1560
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Mailing Address
ETHAN PEARCY PT
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2093
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