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Individual
ETHAN HARDY EASTERLING
Active
Individual
ETHAN HARDY EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1331648
TX
2255A2300X
Athletic Trainer
2000028585
TX
Other
Enumeration date
06/30/2020
Last updated
05/05/2022
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