Individual
BRENT EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 SHAWNEE LN, CHILLICOTHE, OH 45601-4145
(740) 779-4801
Mailing address
481 S MICHIGAN AVE, WELLSTON, OH 45692-1620
(740) 418-2426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06886
OH
225200000X
Physical Therapy Assistant
10317
CA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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