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Individual

ETHAN ROME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
35 PARRIS ISLAND GTWY UNIT 198, BEAUFORT, SC 29906-4244
(843) 575-4722
(843) 459-7904
Mailing address
1263 WHITE TAIL PATH, CHARLESTON, SC 29414-9105
(504) 559-0218

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT32565
FL
225100000X
Physical Therapist
Primary
PT9384
SC

Other

Enumeration date
06/28/2017
Last updated
04/22/2024
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