Individual
MS. BARBARA ETHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
28 RONDOUT HBR, PORT EWEN, NY 12466-5001
(845) 334-8628
(845) 334-8628
Mailing address
28 RONDOUT HBR, PORT EWEN, NY 12466-5001
(845) 334-8628
(845) 334-8628
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
003917-1
NY
Other
Enumeration date
11/22/2008
Last updated
11/22/2008
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