Individual
ETHAN CALAFUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 FREDERICK ST, MOOSIC, PA 18507-1235
(570) 561-7178
Mailing address
207 FREDERICK ST, MOOSIC, PA 18507-1235
(570) 561-7178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005122
PA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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