Individual
DR. ETHAN JOHN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2170 STUMBO RD, ONTARIO, OH 44906-1275
(419) 756-2525
Mailing address
107 W BURWELL AVE, LOUDONVILLE, OH 44842-9574
(330) 432-0881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020478
OH
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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