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Individual

MR. ETHAN HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
1100 102ND AVE N, APT 110, ST PETERSBURG, FL 33716-5079
(727) 657-9197
Mailing address
1100 102ND AVE N, APT 110, ST PETERSBURG, FL 33716-5079
(727) 657-9197

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
10/19/2007
Last updated
10/19/2007
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