Individual
ETHAN RAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3501 5TH AVE STE C2, LAKE CHARLES, LA 70607-2155
(337) 439-3344
Mailing address
312 SUMMIT AVE, SULPHUR, LA 70665-4406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11934R
LA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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