ETHAN KLEIN

ST AUGUSTINE, FL
NPI1841693314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  23511)
Enumeration Date2014-09-29
Last Update Date2014-09-29
Business Address
-- ETHAN KLEIN PTA
319 W TOWN PL SUITE 5
ST AUGUSTINE, FL 32092-3101
Phone number: 904-342-5262
Mailing Address
-- ETHAN KLEIN PTA
319 W TOWN PL SUITE 5
ST AUGUSTINE, FL 32092-3101
Phone number: