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Individual

DR. ETHAN COLE ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, PT

Contact information

Practice address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
(502) 361-2301
Mailing address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
(502) 361-2301

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007411
KY

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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