ETHAN JOHN LIEBLER

GREAT NECK, NY
NPI1770677809
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  22696)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Mr. ETHAN JOHN LIEBLER MSPT
600 NORTHERN BLVD 117
GREAT NECK, NY 11021-5200
Phone number: 516-478-0014
Mailing Address
Mr. ETHAN JOHN LIEBLER MSPT
56 HEMLOCK DR
FARMINGDALE, NY 11735-2929
Phone number: 516-852-5429