Individual
ETHAN WILLIAM CLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10236 GREEN LEVEL CHURCH RD STE 102, CARY, NC 27519-8232
(984) 202-8811
Mailing address
PO BOX 412313, BOSTON, MA 02241-2313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23689
NC
Other
Enumeration date
05/22/2024
Last updated
11/14/2024
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