Individual
ETHAN DINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 GROW AVE, MONTROSE, PA 18801-1105
(570) 278-1101
(570) 278-1102
Mailing address
655 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 18411-8740
(570) 842-9323
(570) 842-9362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025568
PA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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