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Individual

ETHAN CANIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
12420 WILDCAT DR UNIT B, NORTHPORT, AL 35475-4587
(205) 409-6090
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH12332
AL

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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