Individual
ETHAN O HOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 WHISPERING OAKS DR, GERMANTOWN HILLS, IL 61548-9109
(309) 383-2275
Mailing address
309 WHISPERING OAKS DR, GERMANTOWN HILLS, IL 61548-9109
(309) 383-2275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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