ETHAN DAVID

PLAINFIELD, IL
NPI1972433993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.039858)
Enumeration Date2026-05-21
Last Update Date2026-05-21
Business Address
ETHAN DAVID PT, DPT
23915 W MAIN ST UNIT 109
PLAINFIELD, IL 60544-1993
Phone number: 815-296-0596
Mailing Address
ETHAN DAVID PT, DPT
11016 HALEY CT
ORLAND PARK, IL 60467-5667
Phone number: