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1770677809
ETHAN JOHN LIEBLER
GREAT NECK, NY
NPI
1770677809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 22696)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Mr. ETHAN JOHN LIEBLER MSPT
600 NORTHERN BLVD 117
GREAT NECK, NY 11021-5200
Phone number: 516-478-0014
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Mailing Address
Mr. ETHAN JOHN LIEBLER MSPT
56 HEMLOCK DR
FARMINGDALE, NY 11735-2929
Phone number: 516-852-5429
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