Individual
ETHAN SMEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-1000
Mailing address
1121 E 3RD ST, WILLIAMSPORT, PA 17701-5411
(570) 974-8551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013059
PA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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