Individual
MR. ETHAN SOLOMON FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
470 EISENHOWER DR, HANOVER, PA 17331-5248
(717) 633-0031
(717) 630-1085
Mailing address
1861 POWDER MILL RD, ATTN MEDICAL STAFF OFFICE, YORK, PA 17402-4723
(717) 718-2041
(717) 747-2102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
119112
IA
225X00000X
Occupational Therapist
Primary
OC014936
PA
Other
Enumeration date
06/27/2017
Last updated
03/08/2023
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