ETHAN CANTRELL

SAPULPA, OK
NPI1891142295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  2645)
Enumeration Date2016-05-16
Last Update Date2016-05-16
Business Address
-- ETHAN CANTRELL
1120 RIDGE OAK RD
SAPULPA, OK 74066-8446
Phone number: 918-606-6042
Mailing Address
-- ETHAN CANTRELL
1120 RIDGE OAK RD
SAPULPA, OK 74066-8446
Phone number:
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