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1972211217
ETHAN ALEXANDER WHALEY
SAN ANTONIO, TX
NPI
1972211217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1369736)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
ETHAN ALEXANDER WHALEY PT, DPT
20818 GATHERING OAK STE 106
SAN ANTONIO, TX 78260-3105
Phone number: 210-858-5006
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Mailing Address
ETHAN ALEXANDER WHALEY PT, DPT
PO BOX 1393
GOLIAD, TX 77963-1393
Phone number:
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