AUSTIN ETHERIDGE

LAKE CITY, FL
NPI1760187348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA28949)
Enumeration Date2023-04-03
Last Update Date2023-04-03
Business Address
AUSTIN ETHERIDGE
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Mailing Address
AUSTIN ETHERIDGE
51 NW 5TH PL
WILLISTON, FL 32696-1611
Phone number: 352-235-0431
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