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Individual

ETHAN QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208798
VA

Other

Enumeration date
12/05/2014
Last updated
12/05/2014
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