Individual
ETHAN LENNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4940 HAMPDEN LN, BETHESDA, MD 20814-2945
(240) 686-5609
Mailing address
4940 HAMPDEN LN # 201, BETHESDA, MD 20814-2945
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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